NHS Connecting for Health

NHS Data Model and Dictionary Service

Type:Patch
Reference:1325
Version No:1.0
Subject:August Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:30 August 2012

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the August 2012 Release and includes:

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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Summary of changes:

Diagrams
PERSON AND PERSON PROPERTY DIAGRAM   Changed Diagram
 
Data Set
MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)   Changed Description
 
Supporting Information
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW   Changed Description
DIASTOLIC PRESSURE   Changed Description
HBA1C   Changed Description
MENTAL HEALTH MINIMUM DATA SET OVERVIEW   Changed Description
PUBLICATION INFORMATION CONTACT DETAILS   Changed Description
SERUM CREATININE LEVEL   Changed Description
SYSTOLIC PRESSURE   Changed Description
URINARY ALBUMIN LEVEL   Changed Description
WHAT'S NEW: AUGUST 2012 renamed from WHAT'S NEW: JUNE 2012   Changed Description, Name
 
Class Definitions
CLINICAL INVESTIGATION RESULT ITEM   Changed Attributes
 
Attribute Definitions
ACTIVITY DATE TIME TYPE   Changed Description
ACTIVITY GROUP TYPE   Changed Description
ADMISSION METHOD   Changed Description
ASSESSMENT TOOL TYPE   Changed Description
CARE CONTACT TYPE   Changed Description
CARE CONTACT TYPE FOR COMMUNITY CARE   Changed Description
CARE PLAN TYPE   Changed Description
CATEGORY VALUED PERSON OBSERVATION TYPE   Changed Description
CLINICAL INTERVENTION TYPE   Changed Description
ELECTIVE ADMISSION TYPE   Changed Description
MEASURED PERSON OBSERVATION TYPE CODE   Changed Description
MEASUREMENT VALUE TYPE CODE   Changed Description
SERVICE USER TYPE   Changed Description
 
Data Elements
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (EYES)   Changed linked Attribute
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HEART)   Changed linked Attribute
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HIPS)   Changed linked Attribute
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (TESTES)   Changed linked Attribute
COUNTRY CODE (AT ASSIGNMENT)   Changed Description
CRITICAL CARE ACTIVITY CODE   Changed Description
CRITICAL CARE ADMISSION SOURCE   Changed Description
CRITICAL CARE ADMISSION TYPE   Changed Description
CRITICAL CARE DISCHARGE DATE   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 TIME   Changed Description
CRITICAL CARE LEVEL 2 DAYS   Changed Description
CRITICAL CARE LEVEL 3 DAYS   Changed Description
CRITICAL CARE LOCAL IDENTIFIER   Changed Description
CRITICAL CARE SOURCE LOCATION   Changed Description
CRITICAL CARE START DATE   Changed Description
CRITICAL CARE START TIME   Changed Description
CRITICAL CARE UNIT BED CONFIGURATION   Changed Description
CRITICAL CARE UNIT FUNCTION   Changed Description
ELECTIVE ADMISSION LIST ENTRY NUMBER   Changed Description
ELECTIVE ADMISSION LIST REMOVAL DATE   Changed Description
ELECTIVE ADMISSION LIST REMOVAL REASON   Changed Description
ELECTIVE ADMISSION LIST STATUS   Changed Description
ELECTIVE ADMISSION TYPE   Changed Description
ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)   Changed Description
ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)   Changed Description
ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK)   Changed Description
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)   Changed Description
EMPLOYEE WORK PERMIT END DATE   Changed Description
EMPLOYMENT CONTRACT START DATE   Changed Description
EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD)   Changed Description
EMPLOYMENT STATUS (MOTHER AT BOOKING)   Changed Description
EMPLOYMENT STATUS (PARTNER AT BOOKING)   Changed Description
EMPLOYMENT STATUS RECORDED DATE   Changed Description
EMPLOYMENT SUPPORT REFERRAL DATE   Changed Description
EMPLOYMENT SUPPORT SUITABILITY INDICATOR   Changed Description
HEADCOUNT STABILITY RATE (ORGANISATION IN REPORTING PERIOD)   Changed Description
HEADCOUNT TURNOVER RATE (FTE IN REPORTING PERIOD)   Changed Description
HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE   Changed Description
HEALTHCARE RESOURCE GROUP CODE   Changed Description
HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER   Changed Description
HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE)   Changed Description
HIGH COST DRUGS (OPCS)   Changed Description
NEWBORN PHYSICAL EXAMINATION RESULT (HEART)   Changed Description
NEWBORN PHYSICAL EXAMINATION RESULT (HIPS)   Changed Description
NEWBORN PHYSICAL EXAMINATION RESULT (TESTES)   Changed Description
OCCUPATION CODE (CLINICAL SECOND SPECIALTY)   Changed Description
OCCUPATION CODE (CLINICAL SPECIALTY)   Changed Description
OFFERED FOR ADMISSION DATE   Changed Description
OFFER STATUS (DATING ULTRASOUND SCAN)   Changed Description
OFFER STATUS (SCREENING DOWNS SYNDROME)   Changed Description
OFFER STATUS (SCREENING MOTHER ASYMPTOMATIC BACTERIURIA)   Changed Description
OFFER STATUS (SCREENING MOTHER HAEMOGLOBINOPATHY)   Changed Description
OFFER STATUS (SCREENING MOTHER HEPATITIS B)   Changed Description
OFFER STATUS (SCREENING MOTHER HUMAN IMMUNODEFICIENCY VIRUS)   Changed Description
OFFER STATUS (SCREENING MOTHER RUBELLA SUSCEPTIBILITY)   Changed Description
OFFER STATUS (SCREENING NEWBORN HEARING)   Changed Description
OFFER STATUS (SCREENING NEWBORN PHYSICAL EXAMINATION)   Changed Description
OFFER STATUS (ULTRASOUND FETAL ANOMALY SCREENING)   Changed Description
ONSET OF ESTABLISHED LABOUR DATE TIME   Changed Description
ONSET OF SECOND STAGE OF LABOUR DATE TIME   Changed Description
OPERATING THEATRES DEDICATED TO DAY CASES TOTAL   Changed Description
OPERATING THEATRE TOTAL   Changed Description
PATIENT NAME   Changed Description
PAYSCALE SPINE POINT CODE   Changed Description
PERSON FAMILY NAME   Changed Description
PERSON FAMILY NAME (AT BIRTH)   Changed Description
PERSON FULL NAME   Changed Description
PERSON GIVEN NAME   Changed Description
PERSON INITIALS   Changed Description
PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER)   Changed Description
PERSON NAME SUFFIX   Changed Description
PERSON OBSERVATION DATE AND TIME   Changed linked Attribute, Description
PERSON REQUESTED NAME   Changed Description
PERSON TITLE   Changed Description
PERSON WEIGHT   Changed Description
PROCEDURE SCHEME IN USE   Changed Description
TRAINING ACTIVITY DELIVERY METHOD TYPE CODE   Changed Description
 

Date:30 August 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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PERSON AND PERSON PROPERTY DIAGRAM

Change to Diagram: Changed Diagram

top


MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)

Change to Data Set: Changed Description

Mental Health Minimum Data Set Overview

The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data:

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.
TABLE 1: MASTER PATIENT INDEX (MPI)
Master Patient Index:
This table should include a record for every patient receiving care within the Mental Health Service.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
RPERSON MARITAL STATUS
RETHNIC CATEGORY
RNHS NUMBER
RPOSTCODE OF USUAL ADDRESS
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RORGANISATION CODE (CODE OF COMMISSIONER)
OYEAR OF FIRST KNOWN PSYCHIATRIC CARE

TABLE 2: PSYCHOSIS SERVICE (PSYCHOSIS)
Psychosis Service:
This table should contain a record for each patient seen within specialist psychosis services including Early Intervention in Psychosis Services.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPRODROME PSYCHOSIS DATE
REMERGENT PSYCHOSIS DATE
RMANIFEST PSYCHOSIS DATE
RPRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
RPSYCHOSIS TREATMENT START DATE

TABLE 3: EMPLOYMENT STATUS (EMP)
Employment Status:
This table should contain a record for each set of employment details recorded for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MEMPLOYMENT STATUS RECORDED DATE
REMPLOYMENT STATUS
OWEEKLY HOURS WORKED

TABLE 4: ACCOMMODATION STATUS (ACCOM)
Accommodation Status:
This table should contain a record for each set of accommodation status details recorded for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MACCOMMODATION STATUS DATE
RSETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)
OACCOMMODATION STATUS (MENTAL HEALTH)

TABLE 5: REFERRAL (REFER)
Referral:
This table should contain a record for each external referral to the mental health care provider for the patient.  This includes referrals which were not accepted. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MREFERRAL REQUEST RECEIVED DATE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
OSERVICE REQUEST STATUS DATE (MENTAL HEALTH)
RSTATUS OF SERVICE REQUEST (MENTAL HEALTH)
RDISCHARGE DATE (MENTAL HEALTH SERVICE)
RDISCHARGE REASON (MENTAL HEALTH SERVICE)

TABLE 6: MENTAL HEALTH TEAM EPISODE (TEAMEP)
Mental Health Team Episode:
This table should contain a record for every non-inpatient Mental Health Care Team Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
REND DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 7: NHS DAY CARE EPISODE (DAYEP)
NHS Day Care Episode:
This table should contain a record for every Mental Health NHS Day Care Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH NHS DAY CARE EPISODE)
REND DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

TABLE 8: CONSULTANT OUTPATIENT EPISODE (OPEP)
Consultant Outpatient Episode:
This table should contain a record for every Consultant Outpatient Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (CONSULTANT OUT-PATIENT EPISODE)
REND DATE (CONSULTANT OUT-PATIENT EPISODE)

TABLE 9: ACUTE HOME BASED CARE EPISODE (HBCAREEP)
Acute Home Based Care Episode:
This table should contain a record for every Mental Health Care Professional Episode (Acute Home Based) for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))
REND DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))

TABLE 10: MENTAL HEALTH NHS CARE HOME STAY EPISODE (NHSCAREHOMEEP)
Mental Health NHS Care Home Stay Episode:
This table should contain a record for every Mental Health NHS Care Home Stay (Nursing Care) and/or Mental Health NHS Care Home Stay (Residential) for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH NHS CARE HOME STAY)
REND DATE (MENTAL HEALTH NHS CARE HOME STAY)

TABLE 11: HOSPITAL PROVIDER SPELL (PROVSPELL)
Hospital Provider Spell:
This table should contain a record for each Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

TABLE 12: INPATIENT EPISODE (INPATEP)
Inpatient Episode:
This table should contain a record for every Consultant Episode (Hospital Provider) or Nursing Episode which occurred during a Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (EPISODE)
REND DATE (EPISODE)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 13: WARD STAYS WITHIN HOSPITAL PROVIDER SPELL (WARDSTAYS)
Ward Stays Within Hospital Provider Spell:
This table should contain a record for every Ward Stay which occurred during a Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (WARD STAY)
REND DATE (WARD STAY)
RINTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
RWARD SECURITY LEVEL
RSEX OF PATIENTS CODE
RINTENDED AGE GROUP

TABLE 14: DELAYED DISCHARGE (DELAYEDDISCHARGE)
Delayed Discharge:
This table should contain a record for every Mental Health Delayed Discharge Period which occurred during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
REND DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
RMENTAL HEALTH DELAYED DISCHARGE REASON

TABLE 15: CLINICAL TEAM (CLINTEAM)
Clinical Team:
This table should contain a record for each Adult Mental Health Care Team.
M/R/OData Set Data Elements
MADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
OADULT MENTAL HEALTH CARE TEAM NAME
RADULT MENTAL HEALTH CARE TEAM TYPE

TABLE 16: STAFF (STAFF)
Staff:
This table should contain a record for every Mental Health professional responsible for providing the patient's care.
M/R/OData Set Data Elements
MADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RMAIN SPECIALTY CODE (MENTAL HEALTH)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)

TABLE 17: CARE CO-ORDINATOR ASSIGNMENT(CCASS)
Care Co-ordinator Assignment:
This table should contain a record for each assignment of a Care Co-ordinator to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
REND DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 18: RESPONSIBLE CLINICIAN ASSIGNMENT(RCASS)
Responsible Clinician Assignment:
This table should contain a record for each assignment of a Mental Health Responsible Clinician to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
REND DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 19: HEALTH CARE PROFESSIONAL CONTACTS (HCPCONT)
Health Care Professional Contacts:
This table should contain a record for each separate contact with a health care professional for the patient, including Consultant Out-patient Appointments, Professional Staff Group Contacts, Care Coordinator Contacts, and Community Psychiatric Nurse Contacts.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MCARE CONTACT DATE (MENTAL HEALTH)
OCARE CONTACT TIME (MENTAL HEALTH)
RCLINICAL CONTACT DURATION OF APPOINTMENT
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
RCONSULTATION MEDIUM USED
RCARE CONTACT SUBJECT
RACTIVITY LOCATION TYPE CODE
RATTENDED OR DID NOT ATTEND CODE

TABLE 20: NHS DAY CARE FACILITY ATTENDANCES (DAYATT)
NHS Day Care Facility Attendances:
This table should contain a record for each separate Mental Health NHS Day Care Attendance for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MCARE CONTACT DATE (MENTAL HEALTH)
RATTENDED OR DID NOT ATTEND CODE

TABLE 21: REVIEWS (REV)
Reviews:
This table should contain a record for each review undertaken for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MREVIEW DATE
RCARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 22: PRIMARY DIAGNOSIS (PRIMDIAG)
Primary Diagnosis:
This table should contain a record for the Primary Diagnosis recorded for the patient, using ICD10 codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDIAGNOSIS DATE
RPRIMARY DIAGNOSIS (ICD)

TABLE 23: SECONDARY DIAGNOSIS (SECDIAG)
Secondary Diagnosis:
This table should contain a record for each Secondary Diagnosis recorded for the patient, using ICD10 codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDIAGNOSIS DATE
RSECONDARY DIAGNOSIS (ICD)

TABLE 24: CPA EPISODE (CPAEP)
CPA Episode:
This table should contain a record for each separate period of time the patient spent on Care Programme Approach.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RSTART DATE (CARE PROGRAMME APPROACH CARE)
REND DATE (CARE PROGRAMME APPROACH CARE)

TABLE 25: CRISIS PLAN (CRISISPLAN)
Crisis Plan:
This table should contain a record for each Mental Health Crisis Plan created for the patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RMENTAL HEALTH CRISIS PLAN CREATION DATE
RMENTAL HEALTH CRISIS PLAN LAST UPDATED DATE

TABLE 26: MENTAL HEALTH CLUSTERING TOOL (MHCT)
Mental Health Clustering Tool:
This table should contain details of each Mental Health Clustering Tool assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RMENTAL HEALTH CLUSTERING TOOL ASSESSMENT REASON
RHONOS RATING 1 SCORE
RHONOS RATING 2 SCORE
RHONOS RATING 3 SCORE
RHONOS RATING 4 SCORE
RHONOS RATING 5 SCORE
RHONOS RATING 6 SCORE
RHONOS RATING 7 SCORE
RHONOS RATING 8 SCORE
RHONOS RATING 8 TYPE
RHONOS RATING 9 SCORE
RHONOS RATING 10 SCORE
RHONOS RATING 11 SCORE
RHONOS RATING 12 SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE
RMENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
RMENTAL HEALTH CARE CLUSTER CODE

TABLE 27: PAYMENT BY RESULTS CARE CLUSTER (CLUSTER)
Payment By Results Care Cluster:
This table should contain details of the period that the patient is assigned to a Mental Health Care Cluster following a Mental Health Care Clustering Tool Assessment.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE CLUSTER)
REND DATE (MENTAL HEALTH CARE CLUSTER)
RMENTAL HEALTH CARE CLUSTER CODE
RMENTAL HEALTH CARE CLUSTER END REASON

TABLE 28: HEALTH OF THE NATION OUTCOME SCALE (HONOS)
Health of the Nation Outcome Scale:
This table should contain details of each Health of the Nation Outcome Scale (Working Age Adults) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS RATING 1 SCORE
RHONOS RATING 2 SCORE
RHONOS RATING 3 SCORE
RHONOS RATING 4 SCORE
RHONOS RATING 5 SCORE
RHONOS RATING 6 SCORE
RHONOS RATING 7 SCORE
RHONOS RATING 8 SCORE
RHONOS RATING 8 TYPE
RHONOS RATING 9 SCORE
RHONOS RATING 10 SCORE
RHONOS RATING 11 SCORE
RHONOS RATING 12 SCORE

TABLE 29: HEALTH OF THE NATION OUTCOME SCALE 65+ (HONOS65+)
Health of the Nation Outcome Scale 65+:
This table should contain details of each Health of the Nation Outcome Scale (65+) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS 65+ RATING 1 SCORE
RHONOS 65+ RATING 2 SCORE
RHONOS 65+ RATING 3 SCORE
RHONOS 65+ RATING 4 SCORE
RHONOS 65+ RATING 5 SCORE
RHONOS 65+ RATING 6 SCORE
RHONOS 65+ RATING 7 SCORE
RHONOS 65+ RATING 8 SCORE
RHONOS 65+ RATING 8 TYPE
RHONOS 65+ RATING 9 SCORE
RHONOS 65+ RATING 10 SCORE
RHONOS 65+ RATING 11 SCORE
RHONOS 65+ RATING 12 SCORE

TABLE 30: HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS) (HONOSCA)
Health of the Nation Outcome Scale (Children and Adolescents):
This table should contain details of each Health of the Nation Outcome Scale (Children and Adolescents) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS-CA RATING 1 SCORE
RHONOS-CA RATING 2 SCORE
RHONOS-CA RATING 3 SCORE
RHONOS-CA RATING 4 SCORE
RHONOS-CA RATING 5 SCORE
RHONOS-CA RATING 6 SCORE
RHONOS-CA RATING 7 SCORE
RHONOS-CA RATING 8 SCORE
RHONOS-CA RATING 9 SCORE
RHONOS-CA RATING 10 SCORE
RHONOS-CA RATING 11 SCORE
RHONOS-CA RATING 12 SCORE
RHONOS-CA RATING 13 SCORE
RHONOS-CA RATING B14 SCORE
RHONOS-CA RATING B15 SCORE

TABLE 31: HEALTH OF THE NATION OUTCOME SCALE (SECURE) (HONOSSECURE)
Health of the Nation Outcome Scale (Secure):
This table should contain details of each Health of the Nation Outcome Scale (Secure) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS-SECURE RATING A SCORE
RHONOS-SECURE RATING B SCORE
RHONOS-SECURE RATING C SCORE
RHONOS-SECURE RATING D SCORE
RHONOS-SECURE RATING E SCORE
RHONOS-SECURE RATING F SCORE
RHONOS-SECURE RATING G SCORE

TABLE 32: PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
Patient Health Questionnaire:
This table should contain details of each Patient Health Questionnaire-9 assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
OPHQ-9 QUESTION 1 SCORE
OPHQ-9 QUESTION 2 SCORE
OPHQ-9 QUESTION 3 SCORE
OPHQ-9 QUESTION 4 SCORE
OPHQ-9 QUESTION 5 SCORE
OPHQ-9 QUESTION 6 SCORE
OPHQ-9 QUESTION 7 SCORE
OPHQ-9 QUESTION 8 SCORE
OPHQ-9 QUESTION 9 SCORE
OPHQ-9 TOTAL SCORE

TABLE 33: SOCIAL SERVICE STATUTORY ASSESSMENT (SSASS)
Social Service Statutory Assessment:
This table should contain a record for each Social Services Statutory Assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTATUTORY ASSESSMENT DATE
OSTATUTORY ASSESSMENT TYPE

TABLE 34: MENTAL HEALTH ACT EVENT EPISODES (MHAEVENT)
Mental Health Act Event:
This table should contain a record for patients formally detailed under the Mental Health Act 1983 or other Acts.  A separate record should be included for every separate section of the Mental Health Act that the patient is detained under.
Mental Health Act Event Episodes:
This table should contain a record for patients formally detailed under the Mental Health Act 1983 or other Acts.  A separate record should be included for every separate section of the Mental Health Act that the patient is detained under.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
MSTART TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
RMENTAL HEALTH ACT 2007 MENTAL CATEGORY

TABLE 35: SUPERVISED COMMUNITY TREATMENT (SCT)
Supervised Community Treatment:
This table should contain a record for each separate period of Supervised Community Treatment under section 17a of the Mental Health Act 1983 for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT)
REXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)
REND DATE (SUPERVISED COMMUNITY TREATMENT)
RSUPERVISED COMMUNITY TREATMENT END REASON

TABLE 36: SUPERVISED COMMUNITY TREATMENT RECALL (SCTRECALL)
Supervised Community Treatment Recall:
This table should contain a record for each separate period of recall into hospital for a patient on Supervised Community Treatment under section 17a of the Mental Health Act 1983.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
MSTART TIME (SUPERVISED COMMUNITY TREATMENT RECALL)
REND DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
REND TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

TABLE 37: INTERVENTION (READ) (INTERVENTION)
Intervention (READ):
This table should contain a record for each element of treatment or intervention recorded for the patient, using READ codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF PATIENT TREATMENT OR INTERVENTION (READ)
OPATIENT TREATMENT OR INTERVENTION (READ)

TABLE 38: ADMINISTRATIONS OF ECT (ECT)
Administrations of ECT:
This table should contain a record for each separate instance of Electro-Convulsive Therapy administered to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MPROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)

TABLE 39: MENTAL HEALTH LEAVE OF ABSENCE (LOA)
Mental Health Leave of Absence:
This table should contain a record for each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH LEAVE OF ABSENCE)
REND DATE (MENTAL HEALTH LEAVE OF ABSENCE)
RLEAVE OF ABSENCE END REASON

TABLE 40: MENTAL HEALTH ABSENCE WITHOUT LEAVE (AWOL)
Mental Health Absence Without Leave:
This table should contain a record for each separate period of Mental Health Absence Without Leave for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RABSENCE WITHOUT LEAVE END REASON

TABLE 41: HOME LEAVE (HOMELEAVE)
Home Leave:
This table should contain a record for each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on Supervised Community Treatment.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (HOME LEAVE)
REND DATE (HOME LEAVE)

TABLE 42: SELF HARM (SELFHARM)
Self Harm:
This table should contain a record for each separate reported incident of self harm by the patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF SELF HARM

TABLE 43: USE OF RESTRAINT (RESTRAINT)
Restraint:
This table should contain a record for each separate reported incident of physical restraint of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment, during a Hospital Provider Spell.
Use of Restraint:
This table should contain a record for each separate reported incident of physical restraint of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment, during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF PHYSICAL RESTRAINT
ODURATION OF PHYSICAL RESTRAINT

TABLE 44: ASSAULTS ON PATIENT (ASSAULT)
Assaults on Patient:
This table should contain a record for each separate reported incident of assault on the patient by another patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF ASSAULT ON PATIENT

TABLE 45: PERIODS OF SECLUSION (SECLUSION)
Periods of Seclusion:
This table should contain a record for each separate incident of seclusion of the patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF SECLUSION
ODURATION OF SECLUSION

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CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

The Maternity and Children’s Data Set has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The child health element of the data set covers all stages of the care pathway across primary, secondary and tertiary sectors from birth until the day before the 19th birthday an/or transition into audit services. The initial data collection will concentrate on the data required to support the Healthy Child Programme and will for the first time:

  • allow maternal and child health data to be linked so that vital information can be used to improve services
  • provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
  • provide planners, commissioners and managers with reliable information on service delivery, which can be used to inform future planning and service improvements
  • improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
  • record outcomes to contribute to clinical risk management and governance to reduce litigation costs
  • underpin the improvement of local information systems to meet data set standards.

Data Collection

The Children and Young People's Health Service Secondary Uses Data Set provides the definitions for data:

  • to be lodged in the data warehouse regularly and routinely
  • to be assembled, compiled and to flow into a secondary uses data warehouse
  • to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Children's and Young People's Health Services or to enable other systems to interoperate with other clinical systems.

Submission Information

For submission information, see the Maternity and Childrens Data Sets Submission Requirements.

Further Guidance

Further guidance has been produced by The NHS Information Centre for health and social care and is available on their website at: Children's and Young People's Health Services (CYPHS) Secondary Uses Data Set.Further guidance has been produced by The NHS Information Centre for health and social care and is available on their website at: Children's and Young People's Health Services (CYPHS) Secondary Uses Data Set.

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DIASTOLIC PRESSURE

Change to Supporting Information: Changed Description

Diastolic Pressure is a MEASURED PERSON OBSERVATION.

The pressure reading of the blood between heart beats. The type of measurement value is mmHg.Diastolic Pressure is the reading of a PERSON's Blood Pressure relaxing between heart beats and is measured in 'mmHg'.

 

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HBA1C

Change to Supporting Information: Changed Description

HbA1c (Hemoglobin A1c), also known as Glycated Hemoglobin is a MEASURED PERSON OBSERVATION.

The HbA1c test measures the amount of glucose that is being carried by the red blood cells in the body.The HbA1c test measures the amount of glucose that is being carried by the red blood cells in the body and is measured in 'mmol/L (millimoles per litre)'.

 

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MENTAL HEALTH MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Mental Health Minimum Data Set was introduced by Data Set Change Notice 20/19/P13 in April 2000 in response to the lack of national clinical data collection in the mental health arena, in line with the information requirements of the emerging National Service Framework for Mental Health.

Since April 2003 (Data Set Change Notice 49/2002) it has been a mandatory requirement that all Providers of specialist adult, including elderly, mental health services submit central Mental Health Minimum Data Set returns on a quarterly basis, with an additional annual submission.

The Mental Health Minimum Data Set facilitates the collection of person-focussed clinical data and the sharing of such data to underpin the delivery of mental health care. It is structured around the clinical process and includes an outcome assessment (Health of the Nation Outcome Scale (Working Age Adults), or HoNOS (Working Age Adults)). It records the key role played by partner agencies, particularly social services.

The Mental Health Minimum Data Set describes Adult Mental Health Care Spells. These comprise all interventions made for a PATIENT by a specialist Adult Mental Health Care Team from initial REFERRAL REQUEST to final discharge. For some individuals the Adult Mental Health Care Spell will comprise a short Consultant Out-Patient Episode; for others it may extend over many years and include hospital, community, out-patient and day care episodes.

Information is collected relating to various stages in the journey of the PATIENT, including activity such as Hospital Provider Spells, Consultant Out-Patient Episodes, community care, and NHS day care episodes; mental health reviews and assessments including Care Programme Approach (CPA) and Health of the Nation Outcome Scale (Working Age Adults) contacts with mental health professionals such as care co-ordinators, psychiatric NURSES and CONSULTANTS; and also any diagnosis and treatment.

The prime purpose of the Mental Health Minimum Data Set is to provide local clinicians and managers with better quality information for clinical audit, and service planning and management.

Central collection provides improved national information, facilitating feedback to Trusts, and the setting of benchmarks. It will also allow the delivery of the National Service Framework for Mental Health priorities to be monitored.

The Mental Health Minimum Data Set data is collected from NHS funded providers of specialist mental health services and submitted via the Bureau Services Portal provided by the Systems and Services Delivery (SSD) team at NHS Connecting For Health.  The Bureau Service processes submissions and and produces local extracts for provider and commissioner ORGANISATIONS, and a national pseudonymised extract for The NHS Information Centre for health and social care, for storage, analysis and reporting.  The Bureau Service processes submissions and produces local extracts for provider and commissioner ORGANISATIONS, and a national pseudonymised extract for The NHS Information Centre for health and social care, for storage, analysis and reporting.

Please note that the collection of the Mental Health Minimum Data Set does not replace any other collection of mental health data such as the Admitted Patient Care Commissioning Data Set Type Detained and/or Long Term Psychiatric Census, which should continue to be collected.

For further information on the Mental Health Minimum Data Set, please view the following The NHS Information Centre for health and social care website:

http://www.ic.nhs.uk/services/mental-health/mhmds

Mental Health Minimum Data Set Version History

Version
 
Date Issued
 
Summary of Changes
 
DSCN / ISN
 
Implementation Date
 
1.0November 1999Introduction of Mental Health Minimum Data Set DSCN 20/99/P13April 2000
1.1June 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 27/2002April 2003
1.2September 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 29/2002April 2003
1.3October 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 48/2002April 2003
2.0October 2002Mental Health Minimum Data Set - Mandatory Central returns. This version of the data set incorporates changes defined in Data Set Change Notice 27/2002, 29/2002 and 48/2002.DSCN 49/2002April 2003
2.1November 2007Introduction of Mental Health Minimum Data Set Version 2.1DSCN 37/2007November 2007
3.0February 2008Introduction of Mental Health Minimum Data Set Version 3.0 - incorporating changes required for Mental Health Act 2007 and Public Service Agreement Delivery Agreement 16 (Social Exclusion)DSCN 06/2008April 2008
3.5November 2010Advance notification of changes to the Mental Health Minimum Data Set to meet Payment by Results requirements.Amd 41/201001 April 2011
4.0April 2011Introduction of Mental Health Minimum Data Set (Version 4-0) - incorporating changes required for Payment by Results and reduction of burdenAmd 87/201001 April 2011
4.0April 2011Introduction of Mental Health Minimum Data Set (Version 4-0) - incorporating changes required for Payment by Results and reduction of burdenAmd 87/201001 April 2012

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PUBLICATION INFORMATION CONTACT DETAILS

Change to Supporting Information: Changed Description


Email: datastandards@nhs.net

Information Standards Board for Health and Social Care
Princes Exchange 
Princes Square
Leeds
LS1 4HY

Website: Information Standards Board for Health and Social Care website

Email: information.standards@nhs.net

Website:  Department of Health website

Queries:  Contact Us Details

Email: dhmail@dh.gsi.gov.uk

The NHS Information Centre for health and social care

Website: The NHS Information Centre for Health and Social Care website

Queries:  Contact Us

Email: enquiries@ic.nhs.uk

Website: HES online

Queries: HES queries

Website: NHS Classifications Service website

E-mail: datastandards@nhs.net

Organisation Data Service
Hexagon House
Pynes Hill
Rydon Lane
Exeter
Devon EX2 5SE

Website:

Organisation Data Service information is published:

Email: exeter.helpdesk@nhs.net

Telephone: 01392 251 289

  • Postcodes:

Office for National Statistics

Website: Office for National Statistics website

Email: info@statistics.gov.uk

Telephone: 0845 601 3034

Fax: 01633 652747

National Health Service Postcode Directory (NHSPD) Website: National Statistics Postcode Products.

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SERUM CREATININE LEVEL

Change to Supporting Information: Changed Description

Serum Creatinine Level is a MEASURED PERSON OBSERVATION.

 Serum Creatinine Level is the concentration of creatinine in serum, used as an indicator of renal function and is measured in 'micromoles/litre (µmol/L)'.

 

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SYSTOLIC PRESSURE

Change to Supporting Information: Changed Description

Systolic Pressure is a MEASURED PERSON OBSERVATION.

The pressure reading of the blood at each heart beat. The type of measurement value is mmHg.Systolic Pressure is the reading of a PERSON's Blood Pressure at each heart beat and is measured in 'mmHg'.

 

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URINARY ALBUMIN LEVEL

Change to Supporting Information: Changed Description

Urinary Albumin Level is a MEASURED PERSON OBSERVATION.

 Urinary Albumin Level is the level of albumin in a urine sample.

 

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WHAT'S NEW: AUGUST 2012  renamed from WHAT'S NEW: JUNE 2012

Change to Supporting Information: Changed Description, Name

Release: August 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
  • CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
  • CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
  • CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
  • CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
  • CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
  • CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

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

Release: January 2012

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

Release: November 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
  • CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

  • CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
  • CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
  • The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

  • CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

  • CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
  • CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
  • CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
  • CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
  • CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

Release: July 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

Release: June 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1256 (Immediate) - DDCN 1256/2011 School Definitions
  • CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
  • CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
  • CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
  • CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
  • CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

Release: March 2011

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

Release: January 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
  • CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
  • CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
  • CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

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

Release: November 2010

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

  • CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
  • CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
  • CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
  • CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
  • CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

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
  • CR1133 (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:

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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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Attributes

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

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ACTIVITY DATE TIME TYPE

Change to Attribute: Changed Description

A type of DATE or TIME that that defines the usage with regard to the ACTIVITY.The type of DATE or TIME that that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many DATES and TIMES associated with it but may only have one DATE or TIME of a particular type.

National Codes:

Dates

01Angiogram Date (Retired July 2012) 
02Arrival Date At Accident and Emergency Department 
03Breast Assessment Date 
04Cancer Dental Assessment Date 
05Colorectal or Stoma Nurse Seen Date 
06Coronary Angiography Date (Retired July 2012) 
07Care Programme Approach Review Date 
08Date Biopsy Taken 
09Discharge Date 
10Discharge Ready Date 
11End Date 
12Event Date (Retired July 2012) 
13Expected Delivery Date 
14First Antenatal Assessment Date 
15Full Postnatal Examination Date 
16Initial Patient Contact Date (Retired July 2012) 
17Investigation Transfer Date (Retired July 2012) 
18Intrauterine Device Application Date 
19Intrauterine Device Fitted Date 
20Last Dosage Date 
21Mental Health Care Assessment Date 
22Miscarriage Date 
23Pathology Result Due Date 
24Patient Informed Biopsy Result Date 
25Patient Informed Of Outcome Date 
26Smoking Quit Date 
27Review Planned Date 
28Screening Result Date 
29Screening Result Sent Date 
30Specialist Palliative Care Date 
31Start Date 
32Symptoms First Noted Date 
33Attendance Date 
34Clinical Intervention Date 
35Immunisation Completion Date 
36Clinical Status Assessment Date 
37Dose Given Date 
38Test Date 
39Contact Date 
40Appointment Date 
41Primary Procedure Date 
42Second Operation Date 
43Speech and Swallowing Assessment Date 
44Third Operation Date 
45Date First Seen 
46Statutory Assessment Date 
47Screening Test Date 
48Genitourinary Care Contact Date 
49Consultant Upgrade Date 
101Referral Closure Date (Community Care) 
102Discharge Letter Issued Date (Community Care) 
103Systemic Anti-Cancer Therapy Administration Date 
104Procedure Date 
105Immunisation Dose Given Date 
106Antenatal Appointment Date 
107Antenatal Booking Appointment Date 
108Pregnancy First Contact Date 
109Screening Test Information Given Date 

Note: This list is not in alphabetical order.

Times

50Accident and Emergency Attendance Conclusion Time 
51Accident and Emergency Departure Time 
52Accident and Emergency Initial Assessment Time 
53Accident and Emergency Time Seen For Treatment 
54Arrival At Hospital Time (Retired April 2012) 
55ARRIVAL TIME (Retired April 2012) 
56End Time 
57Event Time (Retired July 2012) 
58Initial Patient Contact Time (Retired July 2012) 
59Last Dosage Time 
60Pathology Result Due Time 
61Start Time 
62Theatre Case Time In To Theatre Suite 
63Theatre Case Time Out Of Theatre 
64Theatre Case Time Out Of Theatre Suite 
65Time Seen 
66 Discharge Ready Time (Retired April 2012) 
67Arrival Time At Accident and Emergency Department 
68Arrival Time For Transport Requests 

Note: This list is not in alphabetical order.

 

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

A type of ACTIVITY GROUP.The type of ACTIVITY GROUP.

National Codes:

01Accident and Emergency Episode 
02Acute Myocardial Infarction Care Spell (Retired July 2012) 
03Augmented Care Period (Retired 1 April 2006) 
04Breast Cancer Care Spell 
05Cancer Care Spell 
06Care Home Stay (Consultant Care) 
07Care Home Stay (Midwife Care) 
08Care Home Stay (Nursing Care) 
09Care Home Stay (Residential) 
10Care Programme Approach Episode 
11Colorectal Cancer Care Spell 
12Community Episode 
13Mental Health Care Professional Episode (Acute Home-Based) 
14Consultant Episode (Hospital Provider) 
15Consultant Out-Patient Episode 
16Dental Episode 
17Drug Misuse Episode 
18Sexual Health And HIV Episode 
19Head and Neck Cancer Care Spell 
20Home Dialysis Episode 
21Hospital Provider Spell 
22Lung Cancer Care Spell 
23Adult Mental Health Care Spell 
24Midwife Episode 
25Neonatal Level Of Care Period 
26Nursing Episode 
27Palliative Care Episode 
28PERSON STOP SMOKING EPISODE 
29Pregnancy Episode 
30Professional Staff Group Episode 
31Regular Attender Episode 
32Road Traffic Accident Treatment
33Sarcoma Care Spell 
34Skin Cancer Care Spell 
35Supervised Discharge Episode 
36Supervision Register Episode 
37Upper GI Cancer Care Spell 
38Urological Cancer Care Spell 
39Ward Stay 
40Hospital Stay 
41Care Spell 
42CRITICAL CARE PERIOD 
43PATIENT PATHWAY 
44REFERRAL TO TREATMENT PERIOD 
45Active Monitoring 
46Supervised Community Treatment Recall 
47Supervised Community Treatment 
48Mental Health Care Without Patient Consent 
49Cancer Treatment Period 
50Gynaecological Cancer Care Spell 
51Mental Health Care Spell 
52Improving Access to Psychological Therapies Care Spell 
53Adult Mental Health Care Team Episode 
54Mental Health NHS Day Care Episode 
55Mental Health Delayed Discharge Period 
56Mental Health Care Cluster Assignment Period 
57Mental Health Care Coordinator Assignment 
58Child and Adolescent Mental Health Clinical Intervention Episode 
59Child and Adolescent Mental Health Care Spell 
60Maternity Episode 

Note:
The list is not in alphabetical order.

 

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ADMISSION METHOD

Change to Attribute: Changed Description

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

Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.

National Codes:

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

Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21Accident and emergency or dental casualty department of the Health Care Provider 
22GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Bed bureau
24Consultant Clinic, of this or another Health Care Provider 
25Admission via Mental Health Crisis Resolution Team *  
28Other means, examples are:
- admitted from the Accident and Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended

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

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

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

*Note - National Code 25 'Admission via Mental Health Crisis Resolution Team' is only valid for use in the Mental Health Minimum Data Set (Version 4-0).  This value is not permitted to flow in the current Commissioning Data Set schema (versions 6-0 and 6-1).  National Code 25 should be mapped to another appropriate ADMISSION METHOD code for the purposes of flowing data through the Commissioning Data Set.

 

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ASSESSMENT TOOL TYPE

Change to Attribute: Changed Description

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CARE CONTACT TYPE

Change to Attribute: Changed Description

A type of CARE CONTACT.The type of CARE CONTACT.

National Codes:

01Accident and Emergency Attendance
02Acute Home-Based Contact
03Audiology Attendance
04Cancer Clinical Status Assessment
05Care Programme Approach Review
06Clinic Attendance Consultant
07Clinic Attendance Sexual and Reproductive Health Service
08Clinic Attendance Midwife
09Clinic Attendance Non-Consultant
10Clinic Attendance Nurse
11Contact Tracing Activity
12Dental Treatment Contact
13Day Care Attendance
14Domiciliary Consultation
15Emergency Dental Attendance
16Face To Face Contact Community Care
17Face To Face Contact CPA Care Coordinator
18Face To Face Contact Dental
19Face To Face Contact Optical
20Face To Face Contact Social Worker (Retired 01 April 2011)
21Face To Face Contact Surveillance
22Sexual and Reproductive Health Domiciliary Visit
23Genitourinary Consultant Clinic Attendance
24GMP Consultation
25GMP Practice Consultation
26Home Assessment Visit
27Maternity Domiciliary Visit
28Night Consultation Visit
29Nurse or Midwife Contact
30Out-Patient Attendance Consultant
31Registration Health Check
32Sheltered Work Attendance (Retired 01 April 2011)
33Sight Test
34Social Services Statutory Assessment
35Professional Advice And Support Contact
36Professional Staff Group Contact
37Telephone Contact NHS Direct (Mental Health) (Retired 01 April 2011)
38Theatre Case
39Ward Attendance
40Genitourinary Care Contact
41Improving Access to Psychological Therapies Contact
42NHS Health Check Assessment
43Antenatal Booking Appointment
44Pregnancy First Contact

Note: The list is not in alphabetical order.

 

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CARE CONTACT TYPE FOR COMMUNITY CARE

Change to Attribute: Changed Description

This indicates the type of CARE CONTACT for Community Health Services.The type of CARE CONTACT for Community Health Services.

National Codes:

01Initial Contact
02Follow up CARE CONTACT 
 

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CARE PLAN TYPE

Change to Attribute: Changed Description

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CATEGORY VALUED PERSON OBSERVATION TYPE

Change to Attribute: Changed Description

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CLINICAL INTERVENTION TYPE

Change to Attribute: Changed Description

A type of CLINICAL INTERVENTION.The type of CLINICAL INTERVENTION.

National Codes:

01Anaesthetic Service 
02Anti-Cancer Drug Cycle 
03Anti-Cancer Drug Fraction 
04Anti-Cancer Drug Programme 
05Anti-Cancer Drug Regimen 
06Brachytherapy Treatment Course 
07Contraceptive Service 
08Dental Haemorrhage Service 
09Dental Treatment 
10Drug Dosage and Administration 
11Drug Treatment 
12Emergency Treatment Service 
13Endocrine Therapy 
14Fraction 
15Hip Replacement Surgery 
16Imaging or Radiodiagnostic Event 
17Immunisation Dose Given 
18Joint Replacement Surgery 
19Knee Replacement Surgery 
20Labour And Delivery 
21Lithotripsy Course Attendance 
22Maternity Medical Service 
23Minor Surgery Procedure 
24Pathology Laboratory Investigation 
25Patient Procedure 
26Post Mortem 
27Radiotherapy Treatment Course 
28Screening Test 
29Teletherapy Treatment Course 
30Test Of Immunity 
31Therapy After Discharge (Retired July 2012) 
32Thrombo Prophylaxis Regime 
33Unsealed Source Treatment Course 
34Vaccination Service 
35Vasectomy Performed 
36Clinical Investigation 
37Systemic Anti-Cancer Drug Cycle 
38Systemic Anti-Cancer Drug Programme 
39Systemic Anti-Cancer Drug Regimen 
40Chemotherapy 
41Cytotoxic Chemotherapy 
42Hormone Therapy 
43Immunotherapy 
44Diagnostic Imaging 
456 - 8 Week Physical Examination 
46Ultrasound Scan In Pregnancy 
47Newborn Physical Examination 
48Biological Therapy 
49Brachytherapy 
50Chemoradiotherapy 
51Cryotherapy 
52High Intensity Focused Ultrasound 
53Hyperbaric Oxygen Therapy 
54Laser Treatment 
55Light Therapy 
56Photodynamic Therapy 
57Proton Therapy 
58Psoralen and Ultraviolet A Therapy 
59Radiofrequency Ablation 
60Radioisotope Therapy 
61Radiosurgery 
62Radiotherapy 
63Teletherapy 
 

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ELECTIVE ADMISSION TYPE

Change to Attribute: Changed Description

A classification of an ELECTIVE ADMISSION LIST ENTRY.The type of an ELECTIVE ADMISSION LIST ENTRY.

National Codes:

11Waiting list admission
A PATIENT admitted electively from a WAITING LIST having been given no date of admission at a time a DECISION TO ADMIT was made
12Booked admission
A PATIENT admitted having been given a date at the time the DECISION TO ADMIT was made, determined mainly on the grounds of resource availability
13Planned admission
A PATIENT admitted, having been given a date or approximate date at the time that the DECISION TO ADMIT was made. This is usually part of a planned sequence of clinical care determined mainly on clinical criteria (eg check cystoscopy)

Note that regular day and night admissions should be counted as planned after the first admission, with PATIENT placed on the ELECTIVE ADMISSION LIST between admissions. The date of the DECISION TO ADMIT for regular day and night admissions is the date when arrangements were made for the next admission. It is often the date when the PATIENT was last discharged from hospital.

 

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MEASURED PERSON OBSERVATION TYPE CODE

Change to Attribute: Changed Description

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MEASUREMENT VALUE TYPE CODE

Change to Attribute: Changed Description

A type of measurement used for the MEASURED PERSON OBSERVATION being recorded.The type of measurement used for the MEASURED PERSON OBSERVATION being recorded.

The unit of measurement is based on the MEASURED PERSON OBSERVATION TYPE CODE for that MEASURED PERSON OBSERVATION.

National Codes:

01mmol/L
02µmol/L
03µg/L
04µg/mmol
05µg/ml/hr
06µg/min
07µg/24hr
01Millimoles per litre (mmol/L)
02Micromoles per litre (µmol/L)
03Microgrammes per litre (ug/L)
04Microgrammes per mililitre (ug/mmol)
05Microgramme albumin per hour (ug/ml/hr)
06Microgramme albumin per minute (ug/min)
07Microgramme albumin per 24 hours (ug/24hr)
08Number
09Percentage
10Kilogram
11Metres
13Square Metres
14Millilitres per Minute
15mmHg
16Litres
09Percentage (%)
10Kilograms (kg)
11Metres (m)
13Square Metres (m2)
14Millilitres per Minute (ml/min)
15Millimetre of mercury (mmHg)
16Litres (l)
17Beats per minute (bpm)
18Centimetres (cm)
 

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SERVICE USER TYPE

Change to Attribute: Changed Description

A type of user who will be provided for by a Care Home or a Children's Home.The type of user who will be provided for by a Care Home or a Children's Home.

HOME TYPE identifies whether a home is a Children's Home or a Care Home.

National Codes:

Care Homes
DEDementia
MDMental disorder, excluding learning disability or dementia
LDLearning disability
PDPhysical disability
DPast or present drug dependence
APast or present alcohol dependence
TITerminally ill
SISensory impairment
OPOld age, not falling within any of the categories above

Children's Homes
XChildren (with none of the following conditions)
EBDChildren with emotional or behavioural difficulties
PDChildren with physical disabilities
LDChildren with learning disabilities disability
MDChildren with mental disorders, excluding learning disability
DChildren with present drug dependence
AChildren with present alcohol dependence
SIChildren with sensory impairment
 

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6 - 8 WEEK PHYSICAL EXAMINATION RESULT (EYES)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (EYES)
 
Attribute:
INVESTIGATION EXAMINATION RESULT CODE

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6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HEART)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HEART)
 
Attribute:
INVESTIGATION EXAMINATION RESULT CODE

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6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HIPS)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HIPS)
 
Attribute:
INVESTIGATION EXAMINATION RESULT CODE

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6 - 8 WEEK PHYSICAL EXAMINATION RESULT (TESTES)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (TESTES)
 
Attribute:
INVESTIGATION EXAMINATION RESULT CODE

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COUNTRY CODE (AT ASSIGNMENT)

Change to Data Element: Changed Description

Format/Length:See COUNTRY CODE 
HES Item: 
National Codes: 
Default Codes:97 - Not recorded
99 - Not known
Default Codes:97 - Not recorded
 99 - Not known

Notes:
COUNTRY CODE (AT ASSIGNMENT) is the same as attribute COUNTRY CODE.

The nationality of the EMPLOYEE as declared by the individual on appointment for an ASSIGNMENT to a POSITION or as advised by the individual in the course of employment (should they change their nationality).

This is the COUNTRY CODE of the COUNTRY where the NATIONALITY INDICATOR of NATIONALITY OR RESIDENCY is National Code 01 'National of the respective country at birth and still a national' or 03 'National of respective country subsequent to birth and still a national'.

For Electronic Staff Record and National Workforce Data Set usage only one nationality can be identified so in the case of dual nationality, the EMPLOYEE should choose the preferred COUNTRY for recording their nationality.

 

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CRITICAL CARE ACTIVITY CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See CRITICAL CARE ACTIVITY CODE
Default Codes: 

Notes:
CRITICAL CARE ACTIVITY CODE is the same as attribute CRITICAL CARE ACTIVITY CODE.

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
Format/Length:an2
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
Format/Length:an2
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 DATE

Change to Data Element: Changed Description

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

Notes:
The end date of a CRITICAL CARE PERIOD. This may be the date the PATIENT is discharged from the critical care unit, the date the PATIENT died or the date of declaration of brainstem death.CRITICAL CARE DISCHARGE DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'End Date' for the CRITICAL CARE PERIOD.

This is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 11 'End Date' for the CRITICAL CARE PERIOD.CRITICAL CARE DISCHARGE DATE may be the:

 
  • date the PATIENT is discharged from the critical care unit
  • date the PATIENT died or
  • date of declaration of brainstem death.
  •  

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    CRITICAL CARE DISCHARGE DESTINATION

    Change to Data Element: Changed Description

    Format/length:n2
    Format/Length:n2
    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
    Format/Length:an2
    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 
    Format/Length:See DATE 
    National Codes: 
    Default Codes: 

    Notes:
    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 
    Format/Length:See TIME 
    National Codes: 
    Default Codes: 

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

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    CRITICAL CARE DISCHARGE TIME

    Change to Data Element: Changed Description

    Format/length:See TIME 
    Format/Length:See TIME 
    National Codes: 
    Default Codes: 

    Notes:
    The end time of a 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.

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

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    CRITICAL CARE LEVEL 2 DAYS

    Change to Data Element: Changed Description

    Format/length:n3
    Format/Length:n3
    National Codes: 
    Default Codes:998 - 998 or more level 2 days
     999 - level 2 days occurred but day count not known

    Notes:
    The total number of days a PATIENT received level 2 care during a CRITICAL CARE PERIOD.CRITICAL CARE LEVEL 2 DAYS is the total number of days a PATIENT received level 2 care during a CRITICAL CARE PERIOD. From 000 to 997 days can be recorded; if 998 or more days have occurred the default code should be used.

    This is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 02 'Level 2' within the CRITICAL CARE PERIOD.CRITICAL CARE LEVEL 2 DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 02 'Level 2' within the CRITICAL CARE PERIOD.

     

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    CRITICAL CARE LEVEL 3 DAYS

    Change to Data Element: Changed Description

    Format/length:n3
    Format/Length:n3
    National Codes: 
    Default Codes:998 - 998 or more level 3 days
     999 - level 3 days occurred but day count not known

    Notes:
    The total number of days a PATIENT received level 3 care during a CRITICAL CARE PERIOD.CRITICAL CARE LEVEL 3 DAYS is the total number of days a PATIENT received level 3 care during a CRITICAL CARE PERIOD. From 000 to 997 days can be recorded; if 998 or more days have occurred the default code should be used.

    This is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 03 'Level 3' within the CRITICAL CARE PERIOD.CRITICAL CARE LEVEL 3 DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 03 'Level 3' within the CRITICAL CARE PERIOD.

     

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    CRITICAL CARE LOCAL IDENTIFIER

    Change to Data Element: Changed Description

    Format/length:an8
    Format/Length:an8
    National Codes: 
    Default Codes: 

    Notes:
    This is a unique local ACTIVITY IDENTIFIER used to identify the start of CARE ACTIVITY within a CRITICAL CARE PERIOD.CRITICAL CARE LOCAL IDENTIFIER is a unique local ACTIVITY IDENTIFIER used to identify the start of CARE ACTIVITY within a CRITICAL CARE PERIOD.

    This locally defined variable should as a minimum include a sequential numerical component that can discriminate two or more CRITICAL CARE PERIODS occurring on the same calendar day for the same patient.

     

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    CRITICAL CARE SOURCE LOCATION

    Change to Data Element: Changed Description

    Format/length:an2
    Format/Length:an2
    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 START DATE

    Change to Data Element: Changed Description

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

    Notes:
    The start date of a CRITICAL CARE PERIOD.

    The ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the CRITICAL CARE PERIOD.

    CRITICAL CARE START DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the CRITICAL CARE PERIOD. 

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    CRITICAL CARE START TIME

    Change to Data Element: Changed Description

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

    Notes:
    The start time of a CRITICAL CARE PERIOD.

    The ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 61 'Start Time' for the CRITICAL CARE PERIOD.

    CRITICAL CARE START TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Start Time' for the CRITICAL CARE PERIOD. 

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    CRITICAL CARE UNIT BED CONFIGURATION

    Change to Data Element: Changed Description

    Format/length:an2
    Format/Length:an2
    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
    Format/Length:an2
    National Codes:See CRITICAL CARE UNIT FUNCTION
    Default Codes: 

    Notes:
    CRITICAL CARE UNIT FUNCTION is the same as attribute CRITICAL CARE UNIT FUNCTION.

    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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    ELECTIVE ADMISSION LIST ENTRY NUMBER

    Change to Data Element: Changed Description

    Format/length:an12
    HES item: 
    Format/Length:an12
    HES Item: 
    National Codes: 
    Default Codes: 
     Notes:
    ELECTIVE ADMISSION LIST ENTRY NUMBER is the same as attribute ELECTIVE ADMISSION LIST ENTRY NUMBER. 

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    ELECTIVE ADMISSION LIST REMOVAL DATE

    Change to Data Element: Changed Description

    Format/length:see DATE 
    HES item: 
    Format/Length:see DATE 
    HES Item: 
    National Codes: 
    Default Codes: 
     Notes:
    ELECTIVE ADMISSION LIST REMOVAL DATE is the same as attribute ELECTIVE ADMISSION LIST REMOVAL DATE. 

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    ELECTIVE ADMISSION LIST REMOVAL REASON

    Change to Data Element: Changed Description

    Format/length:n1
    HES item: 
    Format/Length:n1
    HES Item: 
    National Codes:See ELECTIVE ADMISSION LIST REMOVAL REASON
    Default Codes: 


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

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

     

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    ELECTIVE ADMISSION LIST STATUS

    Change to Data Element: Changed Description

    Format/length:an2
    HES item: 
    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes:99 - Not known: a validation error

    Notes:
    This data item is derived and indicates whether a PATIENT is available for treatment or suspended from the ELECTIVE ADMISSION LIST for medical or social reasons.ELECTIVE ADMISSION LIST STATUS is derived and indicates whether a PATIENT is available for treatment or suspended from the ELECTIVE ADMISSION LIST for medical or social reasons.

    Permitted National Codes:

    01Patient is available for treatment
    02Patient is not available for treatment (e.g. suspended for medical or social reasons)
     

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    ELECTIVE ADMISSION TYPE

    Change to Data Element: Changed Description

    Format/length:n2
    HES item: 
    Format/Length:n2
    HES Item: 
    National Codes:See ELECTIVE ADMISSION TYPE
    Default Codes: 


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

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

     

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    ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)

    Change to Data Element: Changed Description

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


    Notes:
    ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) reports the total number of PERSONS eligible to receive immunisation against VACCINE PREVENTABLE DISEASE of Diphtheria, Tetanus and Polio (Td/IPV), for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) that the vaccine if offered to within a REPORTING PERIOD.

    Where the Primary Care Trust does not offer vaccination for immunisation against Diphtheria, Tetanus and Polio for a specific IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO), the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) for that IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) is reported as zero.

     

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    ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)

    Change to Data Element: Changed Description

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


    Notes:
    ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) reports the total number of PERSONS eligible to receive immunisation against VACCINE PREVENTABLE DISEASE of Measles, Mumps and Rubella (MMR), for each  IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) that the vaccine is offered to within a REPORTING PERIOD.

    Where the Primary Care Trust does not offer vaccination for immunisation against Measles, Mumps and Rubella (MMR) for a specific IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA), the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) for that IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) is reported as zero.

     

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    ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK)

    Change to Data Element: Changed Description

    Format/Length:n8
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK) is the number of PATIENTS in the TARGET POPULATION within the REPORTING PERIOD for the NHS Health Check Programme.

    The NHS Health Check Programme eligible population is all people aged between 40 and 74 in England, who have not previously been diagnosed with diabetes, hypertension, chronic heart disease or kidney disease.

     

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    ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)

    Change to Data Element: Changed Description

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


    Notes:
    ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) reports the total number of PERSONS:

     

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    EMPLOYEE WORK PERMIT END DATE

    Change to Data Element: Changed Description

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


    Notes:
    EMPLOYEE WORK PERMIT END DATE is the same as attribute EMPLOYEE WORK PERMIT END DATE.

    The Work Permit arrangements allow employers based in the United Kingdom to employ people who are not nationals of a European Economic Area (EEA) country and are not entitled to work in the United Kingdom.The Work Permit arrangements allow employers based in the United Kingdom to employ people who are not nationals of a European Economic Area (EEA) country and are not entitled to work in the United Kingdom.

    The Work Permit scheme is administered by Work Permits (UK), part of the Home Office's Immigration and Nationality Department (IND).

    This is primarily an operational Human Resources item, but for planning purposes it is used in conjunction with EMPLOYEE RESIDENCY STATUS information to help plan for any necessary replacement of EMPLOYEES who are not entitled to work in the UK.

     

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    EMPLOYMENT CONTRACT START DATE

    Change to Data Element: Changed Description

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


    Notes:
    EMPLOYMENT CONTRACT START DATE is the same as attribute EMPLOYMENT CONTRACT START DATE.

    An EMPLOYMENT CONTRACT may change where the ASSIGNMENT for the EMPLOYEE stays the same, but the hours of work, or the location/base, is changed.

     

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    EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD)

    Change to Data Element: Changed Description

    Format/length:n4
    HES item: 
    Format/Length:n4
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    The number of EMPLOYMENT CONTRACT WORKING HOURS of an EMPLOYEE within an ORGANISATION during the REPORTING PERIOD, it is calculated as follows:

    EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD) is the number of EMPLOYMENT CONTRACT WORKING HOURS of an EMPLOYEE within an ORGANISATION during the REPORTING PERIOD, it is calculated as follows:

     EMPLOYMENT CONTRACT WORKING HOURS * calculated REPORTING PERIOD weeks

    Before the EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD) can be calculated it is necessary to convert the REPORTING PERIOD into a number of weeks, this is calculated as follows:Before the EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD) can be calculated it is necessary to convert the REPORTING PERIOD into a number of weeks, calculated as:

     (REPORTING PERIOD END DATE - REPORTING PERIOD START DATE) / 7 rounded up to next whole number
    or 

    Where the EMPLOYMENT CONTRACT START DATE is after the REPORTING PERIOD START DATE, this is calculated as follows:Where the EMPLOYMENT CONTRACT START DATE is after the REPORTING PERIOD START DATE, calculated as:

     (EMPLOYMENT CONTRACT START DATE - REPORTING PERIOD START DATE) / 7 rounded up to next whole number

    Where the standard working week for the EMPLOYEE is expressed in EMPLOYMENT CONTRACT WORKING SESSIONS per week an assumed value of 3.5 hours per session should be used to convert sessions into working hours.

     

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    EMPLOYMENT STATUS (MOTHER AT BOOKING)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See EMPLOYMENT STATUS
    Default Codes: 

    Notes:
    EMPLOYMENT STATUS (MOTHER AT BOOKING) is the same as attribute EMPLOYMENT STATUS for the mother at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING)

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    EMPLOYMENT STATUS (PARTNER AT BOOKING)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See EMPLOYMENT STATUS
    Default Codes:UU - Unknown (PERSON asked but does not know or is unsure)


    Notes:
    EMPLOYMENT STATUS (PARTNER AT BOOKING) is the same as attribute EMPLOYMENT STATUS  at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), for the PERSON where the PERSON RELATIONSHIP TYPE is National Codes 01 'Spouse' or 02 'Partner'.

    EMPLOYMENT STATUS (PARTNER AT BOOKING) is the same as attribute EMPLOYMENT STATUS  at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), for the PERSON  ;where the PERSON RELATIONSHIP TYPE is National Codes 01 'Spouse' or 02 'Partner'. 

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    EMPLOYMENT STATUS RECORDED DATE

    Change to Data Element: Changed Description

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


    Notes:
    The DATE that the EMPLOYMENT STATUS of a PATIENT was recorded.

    EMPLOYMENT STATUS RECORDED DATE is the DATE that the EMPLOYMENT STATUS of a PATIENT was recorded. 

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    EMPLOYMENT SUPPORT REFERRAL DATE

    Change to Data Element: Changed Description

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


    Notes:
    The date the PATIENT was referred for Employment Support.

    EMPLOYMENT SUPPORT REFERRAL DATE is the date the PATIENT was referred for Employment Support. 

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    EMPLOYMENT SUPPORT SUITABILITY INDICATOR

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See EMPLOYMENT SUPPORT SUITABILITY INDICATOR
    Default Codes:NA - Not Applicable


    Notes:
    EMPLOYMENT SUPPORT SUITABILITY INDICATOR is the same as attribute EMPLOYMENT SUPPORT SUITABILITY INDICATOR.

     

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    HEADCOUNT STABILITY RATE (ORGANISATION IN REPORTING PERIOD)

    Change to Data Element: Changed Description

    Format/Length:nnn.nn (including decimal point)
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    HEADCOUNT STABILITY RATE (ORGANISATION IN REPORTING PERIOD) is the percentage of EMPLOYEES who remain employed within the ORGANISATION within the REPORTING PERIOD, calculated as:

    1. Count the number of ASSIGNMENTS in an ORGANISATION at the start of the REPORTING PERIOD where:
      a.the ASSIGNMENT START DATE is before or on the REPORTING PERIOD START DATE 
     and  
      b.the ASSIGNMENT END DATE is on or after the REPORTING PERIOD START DATE 
       or
       no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
    2. Count the number of ASSIGNMENTS in an ORGANISATION at the end of the REPORTING PERIOD where:
      c.the ASSIGNMENT END DATE is on or after the REPORTING PERIOD END DATE 
       or
       no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
     and  
      d.the ASSIGNMENT START DATE is on or before the REPORTING PERIOD END DATE 
    3. Divide the resulting count of the number of ASSIGNMENTS at the end of the REPORTING PERIOD by the resulting count of the number of ASSIGNMENTS at the start of the REPORTING PERIOD multiplied by 100.
      For example if the number of assignments at the start of the reporting period is 150 and the number of assignments at the end of the reporting period is 120 the headcount stability rate is:
       (120 /150) *100 =80.00%
     

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    HEADCOUNT TURNOVER RATE (FTE IN REPORTING PERIOD)

    Change to Data Element: Changed Description

    Format/Length:nnn.nn (including decimal point)
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    HEADCOUNT TURNOVER RATE (FTE IN REPORTING PERIOD) is the percentage of EMPLOYEES, based upon their ASSIGNMENT CONTRACTED FTE, leaving employment with the ORGANISATION within the REPORTING PERIOD, calculated as:



    1. Sum the ASSIGNMENT CONTRACTED FTE of each ASSIGNMENT in an ORGANISATION at the start of the REPORTING PERIOD where:
      a.the ASSIGNMENT START DATE is before or on the REPORTING PERIOD START DATE 
     and  
      b.the ASSIGNMENT END DATE is on or after the REPORTING PERIOD START DATE
       or
       no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
    2. Sum the ASSIGNMENT CONTRACTED FTE of each ASSIGNMENT in an ORGANISATION at the end of the REPORTING PERIOD where:
      c.the ASSIGNMENT END DATE is on or after the REPORTING PERIOD END DATE 
       or
       no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
     and  
      d.the EMPLOYMENT CONTRACT START DATE is on or before the REPORTING PERIOD END DATE 
    3. Add the resulting sum of the FTEs at the start of the REPORTING PERIOD to the resulting sum of the FTEs at the end of the REPORTING PERIOD divided by 2.
      For example if the sum result at the start of the reporting period is 65.3 and the sum result at the end of the reporting period is 59.16 the average staff in assignments is:
       (65.3 +59.16) / 2 = 62.23
    4. Sum the ASSIGNMENT CONTRACTED FTE of each ASSIGNMENT for each EMPLOYEE leaving employment in an ORGANISATION with a recorded EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE where:
      e.the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is on or after the REPORTING PERIOD START DATE 
     and  
      f.the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is on or before the REPORTING PERIOD END DATE 
    5. Divide the sum FTE of EMPLOYEES leaving employment by the average staff in assignments multiplied by 100
      For example if the number of FTEs leaving employment is 12.7 and the average FTEs in assignments is 62.23 the headcount turnover rate is:
       (12.7 / 62.23) * 100 = 20.40%
     

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    HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE

    Change to Data Element: Changed Description

    Format/Length:max n2
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    This is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Health Anxiety Inventory Short Week Scale".

    HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Health Anxiety Inventory Short Week Scale".

    The score will be between 0 and 54.

     

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    HEALTHCARE RESOURCE GROUP CODE

    Change to Data Element: Changed Description

    Format/length:an3
    HES item:HRGNHS
    Format/Length:an3
    HES Item:HRGNHS
    National Codes: 
    Default Codes: 


    Notes:
    HEALTHCARE RESOURCE GROUP CODE is the code of the Healthcare Resource Group.

    This data element does not need to be populated and transmitted to the Secondary Uses Service (SUS) via the Commissioning Data Sets.

     

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    HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

    Change to Data Element: Changed Description

    Format/Length:an3
    HES Item:HRGNHSVN
    National Codes:OP (applies to out-patient HRGs only)
    Default Codes: 


    Notes:
    HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER is the version number of the Healthcare Resource Group.

    This data element does not need to be populated and transmitted to the Secondary Uses Service (SUS) via the Commissioning Data Sets.

     

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    HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE)

    Change to Data Element: Changed Description

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


    Notes:
    This is the STAGE NUMBER for a TARGET POPULATION for the Immunisation Programme for the Human Papillomavirus Vaccine of either 'routine' or 'catch up'.

    HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE) is the STAGE NUMBER for a TARGET POPULATION for the Immunisation Programme for the Human Papillomavirus Vaccine of either 'routine' or 'catch up'.

    For further information and advise please see Department of Health Key Vaccine Information

     

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    HIGH COST DRUGS (OPCS)

    Change to Data Element: Changed Description

    Format/length:an4
    Format/Length:an4
    National Codes:X81.0 - X97.9
    Default Codes: 

    Notes:
    See PROCEDURE CODING for details on coding.HIGH COST DRUGS (OPCS) is the use of high cost drugs as per OPCS-4 definitions provided as a CARE ACTIVITY.

    This is the use of high cost drugs as per OPCS-4 definitions provided as a CARE ACTIVITY.See PROCEDURE CODING for details on coding.

     

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    NEWBORN PHYSICAL EXAMINATION RESULT (HEART)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See INVESTIGATION EXAMINATION RESULT CODE
    Default Codes: 

    Notes:
    NEWBORN PHYSICAL EXAMINATION RESULT (HEART) is the same as attribute INVESTIGATION EXAMINATION RESULT CODE where the Clinical Investigation is Newborn Physical Examination of Heart. 

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    NEWBORN PHYSICAL EXAMINATION RESULT (HIPS)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See INVESTIGATION EXAMINATION RESULT CODE
    Default Codes: 

    Notes:
    NEWBORN PHYSICAL EXAMINATION RESULT (HIPS) is the same as attribute INVESTIGATION EXAMINATION RESULT CODE where the Clinical Investigation is Newborn Physical Examination of Hips. 

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    NEWBORN PHYSICAL EXAMINATION RESULT (TESTES)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See INVESTIGATION EXAMINATION RESULT CODE
    Default Codes: 

    Notes:
    NEWBORN PHYSICAL EXAMINATION RESULT (TESTES) is the same as attribute INVESTIGATION EXAMINATION RESULT CODE where the Clinical Investigation is Newborn Physical Examination of Testes. 

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    OCCUPATION CODE (CLINICAL SECOND SPECIALTY)

    Change to Data Element: Changed Description

    Format/Length:n3
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OCCUPATION CODE (CLINICAL SECOND SPECIALTY) is the same as attribute OCCUPATION CODE.

    OCCUPATION CODE (CLINICAL SECOND SPECIALTY) is the secondary specialty OCCUPATION CODE of a CONSULTANT.

    The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

    The NHS Occupation Codes are maintained by The NHS Information Centre for health and social care on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

    Please note these codes are not the same as those used for MAIN SPECIALTY CODE.

    A second clinical specialty OCCUPATION CODE is added to a CONSULTANT or Specialist's record where the doctor's primary (main) specialty is 'General Medicine'.

    Note that Specialty codes for a doctor with an OCCUPATION CODE of 021 General Surgery, or in the OCCUPATION CODE range of 920 to 980 Community and Public Health Medicine/Dentistry, are not valid as a second clinical specialty.

     

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    OCCUPATION CODE (CLINICAL SPECIALTY)

    Change to Data Element: Changed Description

    Format/Length:n3
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OCCUPATION CODE (CLINICAL SPECIALTY) is the same as attribute OCCUPATION CODE.

    OCCUPATION CODE (CLINICAL SPECIALTY) is the primary (main) specialty OCCUPATION CODE of a doctor or dentist.

    The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

    The NHS Occupation Codes are maintained by The NHS Information Centre for health and social care, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

    Please note these codes are not the same as those used for MAIN SPECIALTY CODE.

     

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    OFFERED FOR ADMISSION DATE

    Change to Data Element: Changed Description

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

    Notes:
    This is the same as attribute OFFERED FOR ADMISSION DATE.OFFERED FOR ADMISSION DATE is the same as attribute OFFERED FOR ADMISSION DATE. 

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    OFFER STATUS (DATING ULTRASOUND SCAN)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (DATING ULTRASOUND SCAN) is either:
    01Offered and Undecided
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    SPNot eligible - for stage in pregnancy
     for the mother during the Maternity Episode for the Dating Ultrasound Scan.

     

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    OFFER STATUS (SCREENING DOWNS SYNDROME)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING DOWNS SYNDROME) is either: 
    01Offered and Undecided
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    SPNot eligible - for stage in pregnancy
    ACAlternative choice - diagnostic offered
     for the mother during the Maternity Episode, for a Clinical Investigation test for Downs Syndrome Screening.

     

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    OFFER STATUS (SCREENING MOTHER ASYMPTOMATIC BACTERIURIA)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See ACTIVITY OFFER STATUS CODE
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING MOTHER ASYMPTOMATIC BACTERIURIA) is the same as attribute ACTIVITY OFFER STATUS CODE for the mother during the Maternity Episode for a blood test for 'Asymptomatic Bacteriuria'

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    OFFER STATUS (SCREENING MOTHER HAEMOGLOBINOPATHY)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING MOTHER HAEMOGLOBINOPATHY) is either:
    01Offered and Undecided
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    SRPrevious screening result available
    • for the mother during the Maternity Episode for a blood test for Haemoglobinopathy Screening.
     for the mother during the Maternity Episode for a blood test for Haemoglobinopathy Screening.

     

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    OFFER STATUS (SCREENING MOTHER HEPATITIS B)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING MOTHER HEPATITIS B) is either:
    01Offered and Undecided
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    PNTest not required - prior diagnosis
    • for the mother during the Maternity Episode for a blood test for Hepatitis B antibodies.
     for the mother during the Maternity Episode for a blood test for Hepatitis B antibodies.

     

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    OFFER STATUS (SCREENING MOTHER HUMAN IMMUNODEFICIENCY VIRUS)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING MOTHER HUMAN IMMUNODEFICIENCY VIRUS) this is either:
    01Offered and Undecided
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    PNTest not required - prior diagnosis
    • for the mother during the Maternity Episode for a blood test for Human Immunodeficiency Virus (HIV) antibodies.
     for the mother during the Maternity Episode for a blood test for Human Immunodeficiency Virus (HIV) antibodies.

     

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    OFFER STATUS (SCREENING MOTHER RUBELLA SUSCEPTIBILITY)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See ACTIVITY OFFER STATUS CODE
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING MOTHER RUBELLA SUSCEPTIBILITY) is the same as attribute ACTIVITY OFFER STATUS CODE for the mother during the Maternity Episode for a blood test for 'Rubella Antibodies'

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    OFFER STATUS (SCREENING NEWBORN HEARING)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING NEWBORN HEARING) is the ACTIVITY OFFER STATUS CODE for the Newborn Hearing Screening for congenital hearing impairments, this is either:
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    IEIneligible
    NRNo response to offer
     for the mother during the Maternity Episode.

     

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    OFFER STATUS (SCREENING NEWBORN PHYSICAL EXAMINATION)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (SCREENING NEWBORN PHYSICAL EXAMINATION) is either:
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    IEIneligible
    NRNo response to offer
     for a Newborn Physical Examination. 

     

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    OFFER STATUS (ULTRASOUND FETAL ANOMALY SCREENING)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    OFFER STATUS (ULTRASOUND FETAL ANOMALY SCREENING) is either:
    01Offered and Undecided
    02Offered and Declined
    03Offered and Accepted
    04Not Offered
    SPNot eligible - for stage in pregnancy
     for the mother during the Maternity Episode for the Fetal Anomaly Ultrasound Scan.

     

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    ONSET OF ESTABLISHED LABOUR DATE TIME

    Change to Data Element: Changed Description

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


    Notes:
    ONSET OF ESTABLISHED LABOUR DATE TIME is the same as data element DATE AND TIME, for the Start Date and Start Time for Established Labour Onset.

     

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    ONSET OF SECOND STAGE OF LABOUR DATE TIME

    Change to Data Element: Changed Description

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


    Notes:
    ONSET OF SECOND STAGE OF LABOUR DATE TIME is the same as the data element DATE AND TIME, for the Start Date and Start Time for Second Stage Of Labour Onset.

     

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    OPERATING THEATRES DEDICATED TO DAY CASES TOTAL

    Change to Data Element: Changed Description

    Format/length:n3
    Format/Length:n3
    National Codes: 
    Default Codes: 

    Notes:
    The total number of OPERATING THEATRES where the OPERATING THEATRE OPERATIONAL PLAN has an indicator for OPERATING THEATRE DEDICATED TO DAY CASES of National Code 1 'Dedicated to day cases'.OPERATING THEATRES DEDICATED TO DAY CASES TOTAL is the total number of OPERATING THEATRES where the OPERATING THEATRE OPERATIONAL PLAN has an indicator for OPERATING THEATRE DEDICATED TO DAY CASES of National Code 'Dedicated to day cases'. 

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    OPERATING THEATRE TOTAL

    Change to Data Element: Changed Description

    Format/length:n3
    Format/Length:n3
    National Codes: 
    Default Codes: 

    Notes:
    The total number of OPERATING THEATRES.OPERATING THEATRE TOTAL is the total number of OPERATING THEATRES. 

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    PATIENT NAME

    Change to Data Element: Changed Description

    Format/length:an70
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is the PERSON NAME where the PERSON NAME CLASSIFICATION equals classification 'a. Preferred Name' of the PATIENT.PATIENT NAME is the PERSON NAME where the PERSON NAME CLASSIFICATION is 'Preferred Name' of the PATIENT.

    NAME FORMAT CODE indicates whether it is a PERSON NAME STRUCTURED or PERSON NAME UNSTRUCTURED.

    The PATIENT's name and address should be withheld from any commissioning data that contains a valid NHS NUMBER.  See Security Issues and Patient Confidentiality for more details.

    The appropriate e-Government Interoperability Framework (e-GIF) standard for PERSON NAME should be used for all new and developing systems and for XML messages.

     

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    PAYSCALE SPINE POINT CODE

    Change to Data Element: Changed Description

    Format/length:To be decided
    HES item: 
    National codesSee PAYSCALE SPINE POINT CODE
    Default codes 
    Format/Length:To be decided
    HES Item: 
    National Codes:See PAYSCALE SPINE POINT CODE
    Default Codes: 

    Notes:
    PAYSCALE SPINE POINT CODE is the same as attribute PAYSCALE SPINE POINT CODE.

    The point within a PAYSCALE that has been reached by an EMPLOYEE for an ASSIGNMENT.PAYSCALE SPINE POINT CODE is the point within a PAYSCALE that has been reached by an EMPLOYEE for an ASSIGNMENT.

     

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    PERSON FAMILY NAME

    Change to Data Element: Changed Description

    Format/Length:max 35 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON FAMILY NAME is the part of a PERSON's name which is used to describe family, clan, tribal group, or marital association.PERSON FAMILY NAME is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Family Name'.

    PERSON FAMILY NAME is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE equals 'b. Person Family Name'.PERSON FAMILY NAME is the part of a PERSON's name which is used to describe family, clan, tribal group, or marital association.

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

    For the AIDC for Patient Identification Data Set, PERSON FAMILY NAME must be displayed in accordance with the NHS Common User Interface Information Standard - Patient Name Input and Display (ISB 1506). 

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 1 January 2002.
    Further information can be found on the Cabinet Office website.

     

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    PERSON FAMILY NAME (AT BIRTH)

    Change to Data Element: Changed Description

    Format/Length:See PERSON FAMILY NAME 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON FAMILY NAME (AT BIRTH) is the same as PERSON FAMILY NAME where the PERSON NAME CLASSIFICATION is b. 'Birth Name'.PERSON FAMILY NAME (AT BIRTH) is the same as PERSON FAMILY NAME where the PERSON NAME CLASSIFICATION is 'Birth Name'.

    PERSON FAMILY NAME (AT BIRTH) is the PATIENT's surname at birth.

     

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    PERSON FULL NAME

    Change to Data Element: Changed Description

    Format/Length:max 70 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON FULL NAME is the full name of a PERSON. This is an unstructured concatenation of some or all of the PERSON TITLE, PERSON GIVEN NAME, PERSON FAMILY NAME and PERSON NAME SUFFIX elements, or other elements that make up a PERSON's full name.

    PERSON FULL NAME is an unstructured concatenation of some or all of the PERSON TITLE, PERSON GIVEN NAME, PERSON FAMILY NAME and PERSON NAME SUFFIX elements, or other elements that make up a PERSON's full name.

    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 1.0, Agreed 1 January 2002.
    Further information can be found on the Cabinet Office website.

     

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    PERSON GIVEN NAME

    Change to Data Element: Changed Description

    Format/Length:max 35 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON GIVEN NAME is the forename or given name of a PERSON.PERSON GIVEN NAME is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Given Name'.

    PERSON GIVEN NAME is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE equals 'c. Person Given Name'.PERSON GIVEN NAME is the forename or given name of a PERSON. 

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

    For the AIDC for Patient Identification Data Set, PERSON GIVEN NAME must be displayed in accordance with the NHS Common User Interface Information Standard - Patient Name Input and Display (ISB 1506).

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 1 January 2002.
    Further information can be found on the Cabinet Office website.

     

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    PERSON INITIALS

    Change to Data Element: Changed Description

    Format/Length:max 35 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON INITIALS is used to record a PERSON's initials.PERSON INITIALS is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Initials'.

    PERSON INITIALS is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE equals 'e. Person Initials'.PERSON INITIALS is used to record a PERSON's initials.

    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 1.1, Agreed 1 March 2002.
    Further information can be found on the Cabinet Office website.

     

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    PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER)

    Change to Data Element: Changed Description

    Format/length:an70
    HES item: 
    Format/Length:an70
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is the PERSON NAME TEXT of a PERSON NAME UNSTRUCTURED for the PATIENT's specified GENERAL MEDICAL PRACTITIONER.PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER) is the PERSON NAME TEXT of a PERSON NAME UNSTRUCTURED for the PATIENT's specified GENERAL MEDICAL PRACTITIONER. 

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    PERSON NAME SUFFIX

    Change to Data Element: Changed Description

    Format/Length:max 35 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON NAME SUFFIX is a textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM.

    PERSON NAME SUFFIX is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE equals 'd. Person Name Suffix'.PERSON NAME SUFFIX is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Name Suffix'.

    PERSON NAME SUFFIX is a textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM.

    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 1.0, Agreed 1 January 2002.
    Further information can be found on the Cabinet Office website.

     

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    PERSON OBSERVATION DATE AND TIME

    Change to Data Element: Changed linked Attribute, Description

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

    Notes:
    PERSON OBSERVATION DATE AND TIME is the DATE AND TIME on which the observation was made.PERSON OBSERVATION DATE AND TIME is the same as data element DATE AND TIME. PERSON OBSERVATION DATE AND TIME is the PERSON PROPERTY OBSERVED DATE and PERSON PROPERTY OBSERVED TIME on which the observation was made.

     

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    PERSON OBSERVATION DATE AND TIME

    Change to Data Element: Changed linked Attribute, Description

    PERSON OBSERVATION DATE AND TIME
     
    Attribute:
    PERSON PROPERTY OBSERVED DATE
    PERSON PROPERTY OBSERVED TIME

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    PERSON REQUESTED NAME

    Change to Data Element: Changed Description

    Format/Length:max 70 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON REQUESTED NAME is the name a PERSON wishes to use which is different from the values in Title, Given Name(s), Family Name and Name Suffix fields.

    PERSON REQUESTED NAME is the same as PERSON NAME TEXT.

    PERSON REQUESTED NAME is the name a PERSON wishes to use which is different from the values in Title, Given Name(s), Family Name and Name Suffix fields.

    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.
    Further information can be found on the Cabinet Office website.

     

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    PERSON TITLE

    Change to Data Element: Changed Description

    Format/Length:max 35 characters
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON TITLE is the 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'.PERSON TITLE is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Title'.

    PERSON TITLE is the standard form of address used to precede a PERSON's name.

    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.
    Further information can be found on the Cabinet Office website.

     

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    PERSON WEIGHT

    Change to Data Element: Changed Description

    Format/Length:max n3.max n3
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    PERSON WEIGHT records the Weight of the PERSON.

    This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Weight' and the MEASUREMENT VALUE TYPE CODE is 'Kilogram'.This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Weight' and the MEASUREMENT VALUE TYPE CODE is 'Kilograms'.

    Notes:

     

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    PROCEDURE SCHEME IN USE

    Change to Data Element: Changed Description

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

    Notes:
    This is used in the Clinical Activity Group of the Commissioning Data Set to denote the scheme basis of an Intervention, Operation or A&E Treatment.PROCEDURE SCHEME IN USE is used in the Clinical Activity Group of the Commissioning Data Set to denote the scheme basis of an Intervention, Operation or A&E Treatment.

    Permitted National Codes:

    01Accident & Emergency Treatment
    02OPCS-4 
    03Read Code 4Byte Version (retired 1 October 2009) 
    04Read Code Version 2
    05Read Code Clinical Terms Version 3 (CTV3)
    04Read Coded Clinical Terms Version 2
    05Read Coded Clinical Terms Version 3 (CTV3)

    Read Code Clinical Terms Version 3 (CTV3) with qualifiers (previously known as 3.Read Coded Clinical Terms Version 3 (CTV3) with qualifiers (previously known as 3.1) is not supported in the Commissioning Data Sets. 

    CDS-XML Message:


    The codes as specified above must be used in Commissioning Data Set - XML messages.

     

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    TRAINING ACTIVITY DELIVERY METHOD TYPE CODE

    Change to Data Element: Changed Description

    Format/length:n2
    HES item: 
    National codesSee TRAINING ACTIVITY DELIVERY METHOD TYPE CODE
    Default codes 
    Format/Length:n2
    HES Item: 
    National Codes:See TRAINING ACTIVITY DELIVERY METHOD TYPE CODE
    Default Codes: 

    Notes:
    TRAINING ACTIVITY DELIVERY METHOD TYPE CODE is the same as attribute TRAINING ACTIVITY DELIVERY METHOD TYPE CODE

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    For enquiries about this Change Request, please email datastandards@nhs.net