NHS Connecting for Health

NHS Data Model and Dictionary Service

Type:Change Request
Reference:1357
Version No:1.0
Subject:Correction to the Child and Adolescent Mental Health Services Secondary Uses Data Set
Effective Date:1 April 2013
Reason for Change:Change to Data Standards
Publication Date:20 December 2012

Background:

ISB 1072 Amd 30/2012 made changes to the Child and Adolescent Mental Health Services (CAMHS) Data Set standard.

Since publication of the Information Standards Notice it has been identified that a further change to the Child and Adolescent Mental Health Services Secondary Uses Data Set standard is required:

This Change Request updates the Child and Adolescent Mental Health Services Secondary Uses Data Set in the NHS Data Model and Dictionary, to support the Information Standard.

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Summary of changes:

Data Set
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET   Changed Description
 

Date:20 December 2012
Sponsor:Dr Sheila Shribman, National Clinical Director for Children, Young People and Maternity, Department of 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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CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET

Change to Data Set: Changed Description

Child and Adolescent Mental Health Services Secondary Uses Data Set Overview

The Child and Adolescent Mental Health Services Secondary Uses Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013.The Child and Adolescent Mental Health Services Secondary Uses Data Set has been incorporated early to allow users to see the changes, but please note that the mandated from date is 1 April 2013.

The Mandatory or Required (M/R) 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.
DEMOGRAPHICS, BACKGROUND AND MEDICATION

Master Patient Index and Risk Indicators:
To carry the demographic and background details for the patient.
One occurrence of this group is required.
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
MORGANISATION CODE (CODE OF PROVIDER)
MORGANISATION CODE (CODE OF COMMISSIONER)
RNHS NUMBER
RNHS NUMBER STATUS INDICATOR CODE
RPOSTCODE OF USUAL ADDRESS
RPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
RETHNIC CATEGORY
RRELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE
RDFES ESTABLISHMENT NUMBER
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RATTEMPTED SUICIDE WITH INTENT INDICATOR
RYOUNG CARER INDICATOR
RCHILD PROTECTION PLAN INDICATOR
RORGANISATION CODE (RESPONSIBLE LOCAL AUTHORITY)
RLOOKED AFTER CHILD INDICATOR
RLEARNING DISABILITY INDICATOR
RLEARNING DIFFICULTY INDICATOR

Accommodation Status:
To carry details of the accommodation status of the patient.
Multiple occurrences of this group are required, one for each accommodation status recorded.
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MACCOMMODATION STATUS DATE
MACCOMMODATION STATUS (MENTAL HEALTH)

Family:
To carry details of the people with whom the patient is living.
Multiple occurrences of this group are permitted, one for each person with whom the patient is living. 
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MRELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

Medication:
To carry details of any medication prescribed.
Multiple occurrences of this group are permitted, one for each type of prescribed medication.
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MPRESCRIPTION DATE
MPRESCRIBED MEDICATION TYPE (CHILD AND ADOLESCENT MENTAL HEALTH)

LEGAL STATUS

Mental Health Act Event Episode:
To carry the Mental Health Act Event Episodes of the patient.
Multiple occurrences of this group are permitted, one for each Mental Health Act Event Episode that the patient is subject to. 
M/RData Set Data Elements
MLOCAL 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

Supervised Community Treatment:
To carry the details of each separate period of Supervised Community Treatment for the patient.
Multiple occurrences of this group are permitted, one for each period of Supervised Community Treatment for the patient.
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT)
REXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)
REND DATE (SUPERVISED COMMUNITY TREATMENT)
RSUPERVISED COMMUNITY TREATMENT END REASON

Supervised Community Treatment Recall:
To carry the details of each separate period of recall into hospital for a patient on Supervised Community Treatment.
Multiple occurrences of this group are permitted, one for each period of recall into hospital for the patient.
M/RData Set Data Elements
MLOCAL 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)

Leave of Absence:
To carry the details of each separate period of Mental Health Leave of Absence involving an overnight stay for the patient
Multiple occurrences of this group are permitted, one for each period of Mental Health Leave of Absence for the patient.
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH LEAVE OF ABSENCE)
REND DATE (MENTAL HEALTH LEAVE OF ABSENCE)
RLEAVE OF ABSENCE END REASON

Absence Without Leave:
To carry the details of each separate period of Mental Health Absence Without Leave for the patient.
Multiple occurrences of this group are permitted, one for each period of Mental Health Absence Without Leave for the patient.
M/RData Set Data Elements
MLOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RABSENCE WITHOUT LEAVE END REASON

CAMHS REFERRAL AND DISCHARGE FROM SERVICE

CAMHS Referral:
To carry details of the referral to and discharge from the Child and Adolescent Mental Health Service.
One occurrence of this group is permitted.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MLOCAL PATIENT IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MREFERRAL REQUEST RECEIVED DATE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
RCLINICAL RESPONSE PRIORITY TYPE
RAPPOINTMENT DATE (FIRST OFFERED)
RAPPOINTMENT DECLINED INDICATOR
RDISCHARGE DATE (MENTAL HEALTH SERVICE)
RDISCHARGE REASON (MENTAL HEALTH SERVICE)

Service Type Requested on Referral:
To carry details of the type of service requested from the Child and Adolescent Mental Health Service.
Multiple occurrences of this group are required, one for each type of requested service.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MSERVICE TYPE REQUESTED (CHILD AND ADOLESCENT MENTAL HEALTH)

Status of Service Request:
To carry the status of the service request to the Child and Adolescent Mental Health Service.
Multiple occurrences of this group are required, one for each service request status.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MSERVICE REQUEST STATUS DATE (MENTAL HEALTH)
MSTATUS OF SERVICE REQUEST (MENTAL HEALTH)

CAMHS ENCOUNTERS

CAMHS Contact:
To carry details of contacts with the Child and Adolescent Mental Health Service.
Multiple occurrences of this group are permitted, one for each contact with the patient.
M/RData Set Data Elements
MATTENDANCE IDENTIFIER
MAPPOINTMENT DATE
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
RCLINICAL CONTACT DURATION OF APPOINTMENT
RAPPOINTMENT PURPOSE (CHILD AND ADOLESCENT MENTAL HEALTH)
RACTIVITY LOCATION TYPE CODE
RSITE CODE (OF APPOINTMENT)
RATTENDED OR DID NOT ATTEND CODE

Care Professional at CAMHS Contact:
To carry details of the care professionals contact at each contact.
Multiple occurrences of this group are permitted, one for each care professional.
M/RData Set Data Elements
MATTENDANCE IDENTIFIER
MAPPOINTMENT DATE
MSERVICE REQUEST IDENTIFIER
MCARE PROFESSIONAL GROUP TYPE (CHILD AND ADOLESCENT MENTAL HEALTH)
RDATE FIRST ENCOUNTERED PATIENT

Intervention at CAMHS Contact:
To carry details of the type of Intervention at each contact.
Multiple occurrences of this group are permitted, one for each care professional.
M/RData Set Data Elements
MATTENDANCE IDENTIFIER
MAPPOINTMENT DATE
MSERVICE REQUEST IDENTIFIER
MINTERVENTION TYPE (CHILD AND ADOLESCENT MENTAL HEALTH)

CARE PLANNING

Care Programme Approach (CPA) Care Episode:
To carry details of Care Programme Approach Care episodes for the patient.
Multiple occurrences of this group are permitted, one for each Care Programme Approach Care Episode.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MLOCAL PATIENT IDENTIFIER
MSTART DATE (CARE PROGRAMME APPROACH CARE)
REND DATE (CARE PROGRAMME APPROACH CARE)

CAMHS Care Team:
To carry details of Child and Adolescent Mental Health Care Teams responsible for the patients care.
Multiple occurrences of this group are permitted, one for each Child and Adolescent Mental Health Care Team taking responsibility for the patient's care.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MCHILD AND ADOLESCENT MENTAL HEALTH CARE TEAM TYPE
MCARE PROFESSIONAL TEAM START DATE
RCARE PROFESSIONAL TEAM END DATE
RCHILD AND ADOLESCENT MENTAL HEALTH TIER OF SERVICE

OUTCOMES

Strengths and Difficulties Questionnaire:
To carry details of Strengths and Difficulties Questionnaire (SDQ) outcome measures.
Multiple occurrences of this group are permitted, one for each Strengths and Difficulties Questionnaire (SDQ) outcome measure recorded.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MASSESSMENT TOOL COMPLETION DATE
RSTRENGTHS AND DIFFICULTIES QUESTIONNAIRE VERSION
RASSESSMENT TOOL COMPLETION POINT
RSTRENGTHS AND DIFFICULTIES HYPERACTIVITY SCALE SCORE
RSTRENGTHS AND DIFFICULTIES EMOTIONAL PROBLEMS SCALE SCORE
RSTRENGTHS AND DIFFICULTIES CONDUCT PROBLEMS SCALE SCORE
RSTRENGTHS AND DIFFICULTIES PEER PROBLEMS SCALE SCORE
RSTRENGTHS AND DIFFICULTIES PROSOCIAL BEHAVIOUR SCALE SCORE
RSTRENGTHS AND DIFFICULTIES TOTAL IMPACT SCORE

Experience of Service Questionnaire:
To carry details of Experience of Service Questionnaire (ESQ) outcome measures.
Multiple occurrences of this group are permitted, one for each Experience of Service (ESQ) outcome measure recorded.
M/RData Set Data Elements
MORGANISATION CODE (CODE OF PROVIDER)
MORGANISATION CODE (CODE OF COMMISSIONER)
MASSESSMENT TOOL COMPLETION DATE
REXPERIENCE OF SERVICE QUESTIONNAIRE VERSION
RASSESSMENT TOOL COMPLETION POINT
REXPERIENCE OF SERVICE QUESTION 1 SCORE
REXPERIENCE OF SERVICE QUESTION 2 SCORE
REXPERIENCE OF SERVICE QUESTION 3 SCORE
REXPERIENCE OF SERVICE QUESTION 4 SCORE
REXPERIENCE OF SERVICE QUESTION 5 SCORE
REXPERIENCE OF SERVICE QUESTION 6 SCORE
REXPERIENCE OF SERVICE QUESTION 7 SCORE
REXPERIENCE OF SERVICE QUESTION 8 SCORE
REXPERIENCE OF SERVICE QUESTION 9 SCORE
REXPERIENCE OF SERVICE QUESTION 10 SCORE
REXPERIENCE OF SERVICE QUESTION 11 SCORE
REXPERIENCE OF SERVICE QUESTION 12 SCORE

Health of the National Outcome Scale for Child and Adolescent:
To carry details of Health of the Nation Outcome Scale - Child and Adolescent (HONOS-CA) outcome measures.
Multiple occurrences of this group are permitted, one for each Health of the Nation Outcome Scale - Child and Adolescent (HONOS-CA) outcome measure recorded.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MASSESSMENT TOOL COMPLETION DATE
RHONOS-CA VERSION
RASSESSMENT TOOL COMPLETION POINT
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

Children's Global Assessment Scale Outcome:
To carry details of Children's Global Assessment Scale (CGAS) outcome measures.
Multiple occurrences of this group are permitted, one for each Children's Global Assessment Scale (CGAS) outcome measure recorded.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MASSESSMENT TOOL COMPLETION DATE
RASSESSMENT TOOL COMPLETION POINT
RCHILDRENS GLOBAL ASSESSMENT SCALE SCORE
RCHILDRENS GLOBAL ASSESSMENT SCALE SCORE RANGE CODE

Other Assessment Tool:
To carry details of other types of assessment tool completed during the Child and Adolescent Mental Health Care Spell. 
Multiple occurrences of this group are permitted, one for each assessment tool type completed.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MOTHER ASSESSMENT TOOL TYPE COMPLETED
MASSESSMENT TOOL COMPLETION DATE
RASSESSMENT TOOL COMPLETION POINT

INTERVENTIONS

Intervention Episode:
To carry details of the Child and Adolescent Mental Health Clinical Intervention Episodes delivered to the patient.
Multiple occurrences of this group are permitted, one for each episode delivered.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MINTERVENTION TYPE (CHILD AND ADOLESCENT MENTAL HEALTH)
MSTART DATE (CHILD AND ADOLESCENT MENTAL HEALTH CLINICAL INTERVENTION EPISODE)
REND DATE (CHILD AND ADOLESCENT MENTAL HEALTH CLINICAL INTERVENTION EPISODE)

HOSPITAL PROVIDER SPELLS

Hospital Provider Spell:
To carry details of Hospital Provider Spells.
Multiple occurrences of this group are permitted, one for each Hospital Provider Spell.
M/RData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MSERVICE REQUEST IDENTIFIER
MORGANISATION CODE (CODE OF COMMISSIONER)
MSTART DATE (HOSPITAL PROVIDER SPELL)
RCHILD AND ADOLESCENT MENTAL HEALTH ADMISSION SETTING
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)

Ward Stay:
To carry details of Ward Stays during each Hospital Provider Spell.
Multiple occurrences of this group are permitted, one for each Ward Stay within the Hospital Provider Spell.
M/RData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MSTART DATE (WARD STAY)
REND DATE (WARD STAY)
RSITE CODE (OF TREATMENT)
RSEX OF PATIENTS CODE
RINTENDED AGE GROUP
RINTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
RWARD SECURITY LEVEL

DIAGNOSES

Provisional Diagnosis:
To carry details of provisional diagnoses made.
Multiple occurrences of this group are required, one for each provisional diagnosis made.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MPROVISIONAL DIAGNOSIS DATE
MPROVISIONAL DIAGNOSIS (ICD)

Primary Diagnosis:
To carry details of the primary diagnoses made.
One occurrence of this group is required.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS DATE
MPRIMARY DIAGNOSIS (ICD)

Secondary Diagnosis:
To carry details of any secondary diagnoses made.
Multiple occurrences of this group are required, one for each secondary diagnosis made.
M/RData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS DATE
MSECONDARY DIAGNOSIS (ICD)

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