Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:Patch
Reference:1493
Version No:1.0
Subject:Change Package 1493
Effective Date:Immediate
Reason for Change:Changes to tooling
Publication Date:18 September 2014

Background:

This patch removes the style attribute from all tables in the Dictionary.

This should also be compensated for by adding new styles to the stylesheet.

Summary of changes:

Supporting Information
ACCIDENT AND EMERGENCY DIAGNOSIS TABLES   Changed Description
ACCIDENT AND EMERGENCY INVESTIGATION TABLE   Changed Description
ACCIDENT AND EMERGENCY TREATMENT TABLES   Changed Description
APPLICATION IDENTIFIER (GS1)   Changed Description
COMMISSIONING DATA SET VERSION 6-1 TYPE LIST   Changed Description
COMMISSIONING DATA SET VERSION 6-2 TYPE LIST   Changed Description
INDEX   Changed Description
NHS POSTCODE DIRECTORY   Changed Description
REFERRAL TO TREATMENT CLOCK STOP ADMINISTRATIVE EVENT   Changed Description
REGULATORY BODY   Changed Description
SUPPORTING INFORMATION INTRODUCTION   Changed Description
 
Attribute Definitions
ACTIVITY DATE TYPE   Changed Description
ACTIVITY GROUP TYPE   Changed Description
ASSESSMENT TOOL TYPE   Changed Description
CONTRACEPTION METHOD   Changed Description
DISCHARGE DESTINATION   Changed Description
GROUP SESSION TYPE CODE FOR COMMUNITY CARE   Changed Description
INVESTIGATION SENSITISED RESULT INDICATOR   Changed Description
MENTAL HEALTH CARE CLUSTER CODE   Changed Description
MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE   Changed Description
ORGANISATION CODE   Changed Description
REHABILITATION ASSESSMENT TEAM TYPE   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
 
Data Elements
ACCOMMODATION STATUS CODE   Changed Description
AGE BAND AT SMOKING QUIT DATE   Changed Description
CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT)   Changed Description
CDS SENDER IDENTITY   Changed Description
EMERGENCY CARE ATTENDANCES TOTAL   Changed Description
LOCATION TYPE   Changed Description
MAIN SPECIALTY CODE (MENTAL HEALTH)   Changed Description
ORGANISATION CODE (PCT OF RESIDENCE)   Changed Description
SITE CODE (OF INTENDED PLACE OF DELIVERY)   Changed Description
SOCIAL SERVICES CLIENT IDENTIFIER   Changed Description
SOURCE OF REFERRAL FOR A AND E   Changed Description
SUSPENSION END DATE   Changed Description
SUSPENSION START DATE   Changed Description
WARD TYPE AT PSYCHIATRIC CENSUS DATE   Changed Description
WARD TYPE AT START OF EPISODE   Changed Description
 

Date:18 September 2014
Sponsor:

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.

Click here for a printer friendly view of this page.


ACCIDENT AND EMERGENCY DIAGNOSIS TABLES

Change to Supporting Information: Changed Description

  • The SNOMED CT® subset original ID is 28511000000135 , and
  • The SNOMED CT® subset name is Concepts mapped to Data Dictionary A&E Diagnosis Codes.
  • Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.
  • It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.

  • ACCIDENT AND EMERGENCY DIAGNOSIS is a six character code, comprising:

    Diagnosis Conditionn2
    Sub-Analysisn1
    Accident and Emergency Attendance - ANATOMICAL AREA n2
    Accident and Emergency Attendance - ANATOMICAL SIDE an1

    Accident and Emergency Diagnosis - Diagnosis Condition

    Diagnosis ConditionCode
    Laceration01
    Contusion/abrasion*02
    Soft tissue inflammation03
    Head injury*04
    Dislocation/fracture/joint injury/amputation*05
    Sprain/ligament injury06
    Muscle/tendon injury07
    Nerve injury08
    Vascular injury09
    Burns and scalds*10
    Electric shock11
    Foreign body12
    Bites/stings13
    Poisoning* (including overdose)14
    Near drowning15
    Visceral injury16
    Infectious disease*17
    Local infection18
    Septicaemia19
    Cardiac conditions*20
    Cerebro-vascular conditions21
    Other vascular conditions22
    Haematological conditions23
    Central Nervous System conditions* (excluding strokes)24
    Respiratory conditions*25
    Gastrointestinal conditions*26
    Urological conditions (including cystitis)27
    Obstetric conditions28
    Gynaecological conditions29
    Diabetes and other endocrinological conditions*30
    Dermatological conditions31
    Allergy (including anaphylaxis)32
    Facio-maxillary conditions33
    ENT conditions34
    Psychiatric conditions35
    Ophthalmological conditions36
    Social problem (includes chronic alcoholism and homelessness)37
    Diagnosis not classifiable38
    Nothing abnormal detected39
    *Item sub-analysed

    Accident and Emergency Diagnosis - Sub-analysis

    Sub-analysis Code
    Contusion/abrasion- contusion
    - abrasion
    1
    2
    Head Injury- concussion
    - other head injury
    1
    2
    Dislocation/fracture/joint injury/amputation- dislocation
    - open fracture
    - closed fracture
    - joint injury
    - amputation
    1
    2
    3
    4
    5
    Burns and scalds- electric
    - thermal
    - chemical
    - radiation
    1
    2
    3
    4
    Poisoning- prescriptive drugs
    - proprietary drugs
    - controlled drugs
    - other, including alcohol
    1
    2
    3
    4
    Infectious disease- notifiable disease
    - non-notifiable disease
    1
    2
    Cardiac conditions- myocardial ischaemia & infarction
    - other non-ischaemia
    1
    2
    Respiratory conditions- bronchial asthma
    - other non-asthma
    1
    2
    Central Nervous System conditions- epilepsy
    - other non-epilepsy
    1
    2
    Gastrointestinal conditions- haemorrhage
    - acute abdominal pain
    - other
    1
    2
    3
    Diabetes and other endocrinological conditions- diabetic
    - other non-diabetic
    1
    2

    Anatomical Site

    Accident And Emergency Anatomical Area - Area

    Anatomical AreaCode
    Head and Neck 
    Brain01
    Head02
    Face03
    Eye04
    Ear05
    Nose06
    Mouth, Jaw, Teeth07
    Throat08
    Neck09
    Upper Limb 
    Shoulder10
    Axilla11
    Upper Arm12
    Elbow13
    Forearm14
    Wrist15
    Hand16
    Digit17
    Trunk 
    Cervical spine18
    Thoracic19
    Lumbosacral spine20
    Pelvis21
    Chest22
    Breast23
    Abdomen24
    Back/buttocks25
    Ano/rectal26
    Genitalia27
    Lower Limb 
    Hip28
    Groin29
    Thigh30
    Knee31
    Lower leg32
    Ankle33
    Foot34
    Toe35
    Multiple Site36
    Accident and Emergency Anatomical Side 
    LeftL
    RightR
    BilateralB
    Not applicable8

top


ACCIDENT AND EMERGENCY INVESTIGATION TABLE

Change to Supporting Information: Changed Description


  • A broad classification of types of investigation which may be requested to assist with diagnosis as a result of Accident and Emergency Attendance.

  • Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.

  • It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.

  • ACCIDENT AND EMERGENCY INVESTIGATION is a six character code, comprising:
Investigationn2 (see Table below)
Local sub-Analysisup to an4

Accident And Emergency Investigation Table

InvestigationCode
X-ray plain film01
Electrocardiogram02
Haematology03
Cross match blood/group and save serum for later cross match04
Biochemistry05
Urinalysis06
Bacteriology07
Histology08
Computerised Tomography - Retired 2006-04-0109
Ultrasound10
Magnetic Resonance Imaging11
Computerised Tomography (excludes genitourinary contrast examination/tomography)12
Genitourinary contrast examination/tomography13
Clotting studies14
Immunology15
Cardiac enzymes16
Arterial/capillary blood gas17
Toxicology18
Blood culture19
Serology20
Pregnancy test21
Dental investigation22
Refraction, orthoptic tests and computerised visual fields23
None24
Other99

Items expected to be sub-analysed at discretion of individual Accident and Emergency Departments.

top


ACCIDENT AND EMERGENCY TREATMENT TABLES

Change to Supporting Information: Changed Description


  • A broad classification of types of treatment or guidance which may be provided to a PATIENT as a result of Accident and Emergency Attendance.

  • Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.

  • It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.

  • ACCIDENT AND EMERGENCY TREATMENT is a six character code, comprising:
Conditionn2 (see Treatment Table below)
Sub-Analysisn1 (see Sub-analysis Table below)
Local useup to an3

Accident and Emergency Treatment - Treatment

TreatmentCode
Dressing*01
Bandage/support02
Sutures*03
Wound closure (excluding sutures)*04
Plaster of Paris*05
Splint06
Prescription - Retired 2006-04-0107
Removal foreign body08
Physiotherapy*09
Manipulation*10
Incision & drainage11
Intravenous cannula12
Central line13
Lavage/emesis/charcoal/eye irrigation14
Intubation & Endotracheal tubes/laryngeal mask airways/rapid sequence induction15
Chest drain16
Urinary catheter/suprapubic17
Defibrillation/pacing*18
Resuscitation/cardiopulmonary resuscitation19
Minor surgery20
Observation/electrocardiogram, pulse oximetry/head injury/trends21
Guidance/advice only*22
Anaesthesia*23
Tetanus*24
Nebuliser/spacer25
Parenteral thrombolysis*28
Other Parenteral drugs*29
Recording vital signs30
Burns review31
Recall/x-ray review32
Fracture review33
Wound cleaning34
Dressing/wound review35
Sling/collar cuff/broad arm sling36
Epistaxis control37
Nasal airway38
Oral airway39
Supplemental oxygen40
Continuous positive airways pressure/nasal intermittent positive pressure ventilation/bag valve mask41
Arterial line42
Infusion fluids43
Blood product transfusion44
Pericardiocentesis45
Lumbar puncture46
Joint aspiration47
Minor plastic procedure/split skin graft48
Active rewarming of the hypothermic patient49
Cooling - control body temperature50
Medication administered*51
Occupational Therapy*52
Loan of walking aid (crutches)53
Social work intervention54
Eye*55
Dental treatment56
Prescription/medicines prepared to take away57
Other (consider alternatives)27
None (consider guidance/advice option)99

Items sub-analysed in Table below

Accident and Emergency Treatment - Sub-analysis

Sub-analysis Treatment Code
Dressing- dressing minor wound/burn/eye
- dressing major wound/burn
1
2
Sutures- primary sutures
- secondary/complex suture
- removal of sutures/clips
1
2
3
Wound closure (excluding sutures)- steristrips
- wound glue
- other (e.g. clips)
1
2
3
Plaster of Paris- application Plaster of Paris
- removal Plaster of Paris
1
2
Physiotherapy- strapping, ultra sound treatment, short wave diathermy, manipulation
- gait re-education, falls prevention
1
2
Manipulation- manipulation of upper limb fracture
- manipulation of lower limb fracture
- manipulation of dislocation
1
2
3
Defibrillation/pacing- defibrillation
- external pacing
1
2
Guidance/advice only- written
- verbal
1
2
Anaesthesia- general anaesthetic
- local anaesthetic
- regional block
- entonox
- sedation
- other
1
2
3
4
5
6
Tetanus- immune
- tetanus toxoid course
- tetanus toxoid booster
- human immunoglobulin
- combined tetanus/diphtheria course
- combined tetanus/diphtheria booster
1
2
3
4
5
6
Parenteral thrombolysis- streptokinase parenteral thrombolysis
- recombinant - plasminogen activator
1
2
Other Parenteral drugs- intravenous drug, e.g. stat/bolus
- intravenous infusion
1
2
Medication administered- oral
- intra-muscular
- subcutaneous
- per rectum
- sublingual
- intra-nasal
- eye drops
- ear drops
- topical skin cream
1
2
3
4
5
6
7
8
9
Occupational Therapy- OT functional assessment
- OT activities of daily living equipment provision
1
2
Eye- orthoptic exercises
- laser of retina/iris or posterior capsule
- retrobulbar injection
- epilation of lashes
- subconjunctival injection
1
2
3
4
5

top


APPLICATION IDENTIFIER (GS1)

Change to Supporting Information: Changed Description

An Application Identifier (GS1) (AI) is a 2,3 or 4 digit number, that indicates the meaning (or status) of the data, which immediately follows the Application Identifier (GS1). It is only used with GS1 data carriers, such as GS1-128 and CS1 DataMatrix bar codes.

An Application Identifier (GS1) identifies the type of data used for the purposes of Automatic Identification and Data Capture using GS1 standards.

A set of national (2 digit) numbers are issued for use in the NHS. These are:

91Hospital Identifiers.
Identifies that the data immediately following the Application Identifier relates to local hospital identifiers, typically ORGANISATION CODE (CODE OF PROVIDER), PATIENT hospital/Patient Administration System (PAS) number and the ORGANISATION GS1 Unique Organisation Prefix.
92Baby Details.
Identifies that the data immediately following the Application Identifier relates to baby details, typically NUMBER OF BABIES IDENTIFIER (PATIENT IDENTIFICATION), PERSON FAMILY NAME (MOTHER OF BABY) and PERSON GIVEN NAME (MOTHER OF BABY)
93Patient Descriptive Data.
Identifies that the data immediately following the Application Identifier relates to PATIENT descriptive data, typically PERSON FAMILY NAME, PERSON GIVEN NAME, DATE OF BIRTH (PATIENT IDENTIFICATION) and TIME OF BIRTH (PATIENT IDENTIFICATION).

Notes:
Codes 94-97 have been reserved for national use only, and are not to be allocated by the NHS locally. Codes 98 and 99 can be allocated by the NHS for local use. 

top


COMMISSIONING DATA SET VERSION 6-1 TYPE LIST

Change to Supporting Information: Changed Description

For guidance on the Commissioning Data Set Layout, see the Commissioning Data Set Redesign Guidance Notes on the NHS Data Model and Dictionary website.

CDS Layout with
CDS-XML Schema Rules
Overview
Accident and Emergency Commissioning Data Set Type:
CDS V6-1 Type 010 - Accident and Emergency CDSCDS V6-1 Type 010 Overview
Out Patient Commissioning Data Set Types:
CDS V6-1 Type 020 - Outpatient CDSCDS V6-1 Type 020 Overview
CDS V6-1 Type 021 - Future Outpatient CDSCDS V6-1 Type 021 Overview
Admitted Patient Care Commissioning Data Set Types:
CDS V6-1 Type 120 - Admitted Patient Care - Finished Birth Episode CDSCDS V6-1 Type 120 Overview
CDS V6-1 Type 130 - Admitted Patient Care - Finished General Episode CDSCDS V6-1 Type 130 Overview
CDS V6-1 Type 140 - Admitted Patient Care - Finished Delivery Episode CDSCDS V6-1 Type 140 Overview
 
CDS V6-1 Type 150 - Admitted Patient Care - Other Birth Event CDSCDS V6-1 Type 150 Overview
CDS V6-1 Type 160 - Admitted Patient Care - Other Delivery Event CDSCDS V6-1 Type 160 Overview
 
CDS V6-1 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDSCDS V6-1 Type 170 Overview
 
CDS V6-1 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDSCDS V6-1 Type 180 Overview
CDS V6-1 Type 190 - Admitted Patient Care - Unfinished General Episode CDSCDS V6-1 Type 190 Overview
CDS V6-1 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDSCDS V6-1 Type 200 Overview
Elective Admission List Commissioning Data Set Types - End Of Period Census Types:
CDS V6-1 Type 030 - Elective Admission List - End of Period Census (Standard) CDSCDS V6-1 Type 030 Overview
CDS V6-1 Type 040 - Elective Admission List - End Of Period Census (Old) CDSCDS V6-1 Type 040 Overview
CDS V6-1 Type 050 - Elective Admission List - End Of Period Census (New) CDSCDS V6-1 Type 050 Overview
Elective Admission List Commissioning Data Set Types - Event During Period Types:
CDS V6-1 Type 060 - Elective Admission List - Event During Period (Add) CDSCDS V6-1 Type 060 Overview
CDS V6-1 Type 070 - Elective Admission List - Event During Period (Remove) CDSCDS V6-1 Type 070 Overview
CDS V6-1 Type 080 - Elective Admission List - Event During Period (Offer) CDSCDS V6-1 Type 080 Overview
CDS V6-1 Type 090 - Elective Admission List - Event During Period (Available / Unavailable) CDSCDS V6-1 Type 090 Overview
CDS V6-1 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDSCDS V6-1 Type 100 Overview
CDS V6-1 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDSCDS V6-1 Type 110 Overview
Commissioning Data Set Interchange and Message Controls - Mandatory for every Interchange:
CDS V6-1 Type 001 - CDS Interchange HeaderCDS V6-1 Type 001 Overview
CDS V6-1 Type 002 - CDS Interchange TrailerCDS V6-1 Type 002 Overview
CDS V6-1 Type 003 - CDS Message HeaderCDS V6-1 Type 003 Overview
CDS V6-1 Type 004 - CDS Message TrailerCDS V6-1 Type 004 Overview
Commissioning Data Set Transaction Header Group - Mandatory for every Commissioning Data Set:
CDS V6-1 Type 005B - CDS Transaction Header Group - Bulk Update ProtocolCDS V6-1 Type 005B Overview
or
CDS V6-1 Type 005N - CDS Transaction Header Group - Net Change ProtocolCDS V6-1 Type 005N Overview

top


COMMISSIONING DATA SET VERSION 6-2 TYPE LIST

Change to Supporting Information: Changed Description

For guidance on the Commissioning Data Set Layout, see the Commissioning Data Set Redesign Guidance Notes on the NHS Data Model and Dictionary website.

CDS Layout with
CDS-XML Schema Rules
Overview
Accident and Emergency Commissioning Data Set Type:
CDS V6-2 Type 010 - Accident and Emergency CDSCDS V6-2 Type 010 - Accident and Emergency CDS Overview
Out Patient Commissioning Data Set Types:
CDS V6-2 Type 020 - Outpatient CDSCDS V6-2 Type 020 - Outpatient CDS Overview
CDS V6-2 Type 021 - Future Outpatient CDSCDS V6-2 Type 021 - Future Outpatient CDS Overview
Admitted Patient Care Commissioning Data Set Types:
CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode CDSCDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode CDS Overview
CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDSCDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDS Overview
CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode CDSCDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode CDS Overview
 
CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event CDSCDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event CDS Overview
CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event CDSCDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event CDS Overview
 
CDS V6-2 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDSCDS V6-2 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS Overview 
 
CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDSCDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDS Overview
CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDSCDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDS Overview
CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDSCDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDS Overview
Elective Admission List Commissioning Data Set Types - End Of Period Census Types:
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) CDSCDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) CDS Overview
CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) CDSCDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) CDS Overview
CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) CDSCDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) CDS Overview
Elective Admission List Commissioning Data Set Types - Event During Period Types:
CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) CDSCDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) CDS Overview
CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) CDSCDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) CDS Overview
CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) CDSCDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) CDS Overview
CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) CDSCDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) CDS Overview
CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDSCDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDS Overview
CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDSCDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDS Overview
Commissioning Data Set Interchange and Message Controls - Mandatory for every Interchange:
CDS V6-2 Type 001 - CDS Interchange HeaderCDS V6-2 Type 001 - CDS Interchange Header Overview
CDS V6-2 Type 002 - CDS Interchange TrailerCDS V6-2 Type 002 - CDS Interchange Trailer Overview
CDS V6-2 Type 003 - CDS Message HeaderCDS V6-2 Type 003 - CDS Message Header Overview
CDS V6-2 Type 004 - CDS Message TrailerCDS V6-2 Type 004 - CDS Message Trailer Overview
Commissioning Data Set Transaction Header Group - Mandatory for every Commissioning Data Set:
CDS V6-2 Type 005B - CDS Transaction Header Group - Bulk Update ProtocolCDS V6-2 Type 005B - CDS Transaction Header Group - Bulk Update Protocol Overview
or
CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change ProtocolCDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol Overview

top


INDEX

Change to Supporting Information: Changed Description


NHS DATA MODEL AND DICTIONARY

Version 3

What's New: August 2014

Welcome to the NHS Data Model and Dictionary for England

If you would like to know more about us or need help using the NHS Data Model and Dictionary, see the Help pages

The NHS Data Model and Dictionary provides a reference point for approved Information Standards and Collections (including Extractions) (ISCEs) to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Standardisation Committee for Care Information. Changes are published as Information Standards and Collections (including Extractions) Notices (ISCE) and Data Dictionary Change Notices (DDCN).

 

Related Links
Frequently Asked Questions
Department of Health website
Health and Social Care Information Centre website
Standardisation Committee for Care Information website

top


NHS POSTCODE DIRECTORY

Change to Supporting Information: Changed Description

Background

The same descriptions can also be accessed via the Technology Reference Data Update Distribution Service (TRUD).

Postcodes
Character Position12345678
Formataa/na/na/nspacenaa
Coding FrameOutward CodespaceInward Code


  • The coding frame allows the use of digits 0 (zero) to 9 and the use of upper-case alpha characters; no special characters are allowed.

  • The fifth character of all standard format POSTCODES is always a space, and separates the outward and inward parts of the POSTCODE. The outward part of the POSTCODE is left-justified and can contain 2, 3 or 4 characters, and is space-filled in character positions 3 and 4 where required. The inward part of the POSTCODE is always 3 characters.

    The following table gives examples of typical POSTCODES:

    Character PositionAllocated byNotes

    1

     

    2

     

    3

     

    4

     

    5

     

    6

     

    7

     

    8

     
      
    W9   3XXRoyal Mail 
    DA1  5PLRoyal Mail 
    MK45 1TERoyal Mail 
    ZZ99 4LZODS POSTCODES for PATIENTS who are Overseas Visitors
    ZZ99 3WZODS Pseudo POSTCODES
Related Products
Changes

top


REFERRAL TO TREATMENT CLOCK STOP ADMINISTRATIVE EVENT

Change to Supporting Information: Changed Description

DSCN 18/2006 published in December 2006, defined essential new data items required to support the measurement of 18 week REFERRAL TO TREATMENT PERIODS (monitoring of DH PSA target 13 - "By 2008, no one will have to wait longer than 18 weeks from GP referral to hospital treatment").

In particular, DSCN 18/2006 introduced the following new data items.

Strategic reporting of 18 weeks will be undertaken by the Secondary Uses Service using data obtained via the Commissioning Data Sets. The data items defined in DSCN 18/2006 are enabled to flow in Commissioning Data Set versions 6-1 and 6-2, and will continue to flow in subsequent versions.

However, an event which results in an update to the REFERRAL TO TREATMENT PERIOD STATUS may occur outside the events that are defined in the Commissioning Data Sets (typically Outpatient or Inpatient encounters) and will therefore not flow to the Secondary Uses Service. These types of events have been termed as "administrative events". They can be defined as any communication event between the Health Care Provider and the PATIENT that occurs outside of an outpatient attendance or inpatient admission and that results in the PATIENT's REFERRAL TO TREATMENT PERIOD STATUS being changed to stop the 18 week clock. These events are not face to face consultations and do not necessarily involve clinical staff.

These Referral To Treatment Clock Stop Administrative Events may be carried using the Commissioning Data Set Type 020 Outpatient record type. They are differentiated from PATIENT contact ACTIVITY by the FIRST ATTENDANCE value carried within them. FIRST ATTENDANCE national code 5 "Referral to treatment clock stop administrative event" signifies that an ACTIVITY has taken place which has ended the REFERRAL TO TREATMENT PERIOD and changed the REFERRAL TO TREATMENT PERIOD STATUS to one of the following:

When to Use Referral To Treatment Clock Stop Administrative Events

These events may happen because:

Secondary Uses Service Processing

The Secondary Uses Service currently processes the following Commissioning Data Set record types in order to build Referral To Treatment pathways.

All other types are not currently processed and so if they carry the REFERRAL TO TREATMENT PERIOD END DATE for a REFERRAL TO TREATMENT PERIOD, a Referral To Treatment Clock Stop Administrative Event must also be sent in order to inform the Secondary Uses Service of the clock stop.

Note that future versions of the Secondary Uses Service will also process:

The dates when ORGANISATIONS submitting REFERRAL TO TREATMENT PERIOD data to the Secondary Uses Service can cease having to also send a Referral To Treatment Clock Stop Administrative Event when a clock stop is carried in one of the Elective Admission List Commissioning Data Set Types, will be notified as part of the Secondary Uses Service release documentation. It is also anticipated that CDS V6-2 Type 021 - Future Outpatient CDS will be accepted as a standard by the Standardisation Committee for Care Information. A cancelled future APPOINTMENT record could carry a REFERRAL TO TREATMENT PERIOD Clock Stop. Again the timescales will be notified as part of the Secondary Uses Service release documentation.

There are no current plans for the Secondary Uses Service to process the remaining Commissioning Data Set Types:

This is because a Referral To Treatment Clock Stop Administrative Event occurring in the scenarios where these record types are generated, would be rare. However this will be reviewed as part of the ongoing maintenance of the Referral To Treatment Clock Stop Administrative Event, and the requirements for the Secondary Uses Service.

When NOT to Use a Referral To Treatment Clock Stop Administrative Event

The Referral To Treatment Clock Stop Administrative Event should NOT be used to correct previously submitted records where a REFERRAL TO TREATMENT PERIOD END DATE was submitted incorrectly to the Secondary Uses Service.

For example, if an Out-Patient Appointment took place where First Definitive Treatment was started, but the REFERRAL TO TREATMENT PERIOD END DATE was not sent in the corresponding CDS V6-1 Type 020 - Outpatient Commissioning Data Set/ CDS V6-2 Type 020 - Outpatient Commissioning Data Set record as it was not entered on the Patient Administration System until later; then the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set record should be resubmitted with the correct data. A Referral To Treatment Clock Stop Administrative Event should NOT be used.

Where an ORGANISATION's Patient Administration System supports the submission of cancelled and Did Not Attend appointments in the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set, the Referral To Treatment Clock Stop Administrative Event should NOT be used when a PATIENT has a booked Out-Patient Appointment, which is then cancelled because, for example, the PATIENT dies. In these cases the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set can carry the details of a cancelled CARE ACTIVITY, including the REFERRAL TO TREATMENT PERIOD END DATE and update to the REFERRAL TO TREATMENT PERIOD STATUS. (Note - not all Patient Administration Systems provide functionality to create and submit Commissioning Data Set records for cancellations/Did Not Attend's as this is not yet mandated - you should contact your Patient Administration System support team to ascertain whether your Patient Administration System supports this. If not, then it is permissible to send a Referral To Treatment Clock Stop Administrative Event in order to stop the clock in the Secondary Uses Service instead).

Referral To Treatment Clock Stop Administrative Events only require a sub-set of the data elements contained in the CDS V6-1 Type 020 - Outpatient Commissioning Data Set / CDS V6-2 Type 020 - Outpatient Commissioning Data Set record, to be submitted to the Secondary Uses Service. All other data elements not listed should be omitted from the XML submission of the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set record to the Secondary Uses Service. The submission of a Referral To Treatment Clock Stop Administrative Event is not reliant on the use of the Net Change Commissioning Data Set Submission Protocol to the Secondary Uses Service

The required data elements making up a Referral To Treatment Clock Stop Administrative Event are:

Data Element Required

Notes

UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) or PATIENT PATHWAY IDENTIFIERThe Commissioning Data Set Schema versions 6-1-1 and 6-2 require EITHER the PATIENT PATHWAY IDENTIFIER, or the UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) to be populated.
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)If the UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) is used, the ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) should contain X09 (which relates to the Choose and Book system)
REFERRAL TO TREATMENT STATUS (CDS V6-1) or REFERRAL TO TREATMENT PERIOD STATUS (CDS V6-2)This should contain only one of the following codes to signify that the REFERRAL TO TREATMENT PERIOD has ended:
WAITING TIME MEASUREMENT TYPE (CDS V6-2 only)This item is XML mandatory in the CDS V6-2 schema (but is not present in the CDS V6-1 schema).
REFERRAL TO TREATMENT PERIOD START DATE  
REFERRAL TO TREATMENT PERIOD END DATE  
NHS NUMBER  

NHS NUMBER STATUS INDICATOR (CDS V6-1) or NHS NUMBER STATUS INDICATOR CODE (CDS V6-2)

 
POSTCODE OF USUAL ADDRESS  
ORGANISATION CODE (PCT OF RESIDENCE) (CDS V6-1 only) 
ORGANISATION CODE (RESIDENCE RESPONSIBILITY) (CDS V6-2 only) 
FIRST ATTENDANCE (CDS V6-1) or FIRST ATTENDANCE CODE (CDS V6-2)This should always hold the National code 5 - "Referral to Treatment Period Clock Stop Administrative Event"
APPOINTMENT DATEThis field is XML mandatory in Commissioning Data Set Schema versions 6-1-1 and 6-2 for Type 020 Outpatients, and for the purposes of the Referral To Treatment Clock Stop Administrative Event, should hold the same date as the REFERRAL TO TREATMENT PERIOD END DATE 
AGE AT CDS ACTIVITY DATE This field is XML mandatory in the Commissioning Data Set Schema versions 6-1-1 and 6-2 for Type 020 Outpatients, and should hold the PATIENTS age at REFERRAL TO TREATMENT PERIOD END DATE
ORGANISATION CODE (CODE OF PROVIDER)This field is not XML mandatory in the Commissioning Data Set version 6-1-1 schema but is required by the Secondary Uses Service for processing of all records.  It is XML mandatory in the CDS V6-2 schema
ORGANISATION CODE (CODE OF COMMISSIONER) This field is not XML mandatory in the Commissioning Data Set version 6-1-1 schema but is required by the Secondary Uses Service for processing of all records.  It is XML mandatory in the CDS V6-2 schema

top


REGULATORY BODY

Change to Supporting Information: Changed Description

A Regulatory Body is an ORGANISATION appointed by the Government to establish national standards for qualifications and to ensure consistent compliance with them.

The table below shows CARE PROFESSIONALS and the Regulatory Body they are regulated by.

CARE PROFESSIONAL TYPEREGULATORY BODY
Arts TherapistHealth and Care Professions Council
Biomedical ScientistHealth and Care Professions Council
ChiropodistHealth and Care Professions Council
ChiropractorGeneral Chiropractic Council
Clinical Dental TechnicianGeneral Dental Council
Clinical ScientistHealth and Care Professions Council
Dental HygienistGeneral Dental Council
Dental NurseGeneral Dental Council
Dental TechnicianGeneral Dental Council
Dental TherapistGeneral Dental Council
DietitianHealth and Care Professions Council
Dispensing OpticianGeneral Optical Council
GENERAL DENTAL PRACTITIONERGeneral Dental Council
GENERAL MEDICAL PRACTITIONERGeneral Medical Council
Hearing Aid DispenserHealth and Care Professions Council 
MIDWIFENursing and Midwifery Council
NURSENursing and Midwifery Council
Occupational TherapistHealth and Care Professions Council
Operating Department PractitionerHealth and Care Professions Council
OPHTHALMIC MEDICAL PRACTITIONERGeneral Optical Council
OPTOMETRISTGeneral Optical Council
Orthodontic TherapistGeneral Dental Council
OrthoptistHealth and Care Professions Council
OrthotistHealth and Care Professions Council
OsteopathGeneral Osteopathic Council
ParamedicHealth and Care Professions Council
PharmacistGeneral Pharmaceutical Council
Pharmacy TechnicianGeneral Pharmaceutical Council
PhysiotherapistHealth and Care Professions Council
ProsthetistHealth and Care Professions Council
RadiographerHealth and Care Professions Council
Social Worker in EnglandHealth and Care Professions Council
Speech and Language TherapistHealth and Care Professions Council
Specialist Community Public Health NurseNursing and Midwifery Council
 

top


SUPPORTING INFORMATION INTRODUCTION

Change to Supporting Information: Changed Description

top


ACTIVITY DATE TYPE

Change to Attribute: Changed Description

The type of date that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many dates associated with it but may only have one date of a particular type.

National Codes:

001Angiogram Date (Retired July 2012)
002Arrival Date At Accident and Emergency Department
003Breast Assessment Date (Retired 1 January 2013)
004Cancer Dental Assessment Date
005Colorectal or Stoma Nurse Seen Date (Retired 1 January 2013)
006Coronary Angiography Date (Retired July 2012)
007Care Programme Approach Review Date
008Date Biopsy Taken (Retired 01 April 2014)
009Discharge Date
010Discharge Ready Date
011End Date
012Event Date (Retired July 2012)
013Expected Delivery Date (Retired September 2012)
014First Antenatal Assessment Date
015Full Postnatal Examination Date (Retired September 2012)
016Initial Patient Contact Date (Retired July 2012)
017Investigation Transfer Date (Retired July 2012)
018Intrauterine Device Application Date (Retired September 2012)
019Intrauterine Device Fitted Date (Retired September 2012)
020Last Dosage Date
021Mental Health Care Assessment Date (Retired September 2012)
022Miscarriage Date (Retired September 2012)
023Pathology Result Due Date
024Patient Informed Biopsy Result Date
025Patient Informed Of Outcome Date (Retired September 2012)
026Smoking Quit Date
027Review Planned Date (Retired 01 April 2014)
028Screening Result Date (Retired 01 April 2014)
029Screening Result Sent Date
030Specialist Palliative Care Date (Retired 01 April 2014)
031Start Date
032Cancer Symptoms First Noted Date
033Attendance Date
034Clinical Intervention Date
035Immunisation Completion Date
036Clinical Status Assessment Date
037Dose Given Date (Retired September 2012)
038Test Date (Retired September 2012)
039Contact Date
040Appointment Date
041Primary Procedure Date
042Second Operation Date (Retired 01 April 2014)
043Speech and Language Assessment Date
044Third Operation Date (Retired 01 April 2014)
045Date First Seen
046Statutory Assessment Date
047Screening Test Date
048Genitourinary Care Contact Date (Retired January 2014)
049Consultant 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
110Assessment Date For Transplant Suitability
111Accident and Emergency Initial Assessment Date
112Accident and Emergency Date Seen For Treatment
113Accident and Emergency Attendance Conclusion Date
114Accident and Emergency Departure Date
115Clinical Assessment Date
116Imaging or Radiodiagnostic Event Date
117Neonatal Critical Care Daily Care Date
118Two Year Neonatal Outcomes Assessment Date

Note: This list is not in alphabetical order.

 

top


ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

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 (Retired 01 April 2014)
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, Learning Disability or Autism Spectrum Disorder 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 (Retired 01 April 2014)
33Sarcoma Care Spell 
34Skin Cancer Care Spell 
35Supervised Discharge Episode (Retired 01 April 2014)
36Supervision Register Episode (Retired 01 April 2014)
37Upper Gastrointestinal 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
61HIV Episode
62Central Nervous System Cancer Care Spell
63Children Teenagers and Young Adults Cancer Care Spell
64Haematology Cancer Care Spell
65Lung Cancer Care Spell
66Commissioner Assignment Period
67Breast Screening Episode
68High Risk Breast Screening Episode
69Open Breast Screening Episode
70Neonatal Critical Care Spell
71Radiotherapy Episode
72Healthy Person Stay
73Mental Health Responsible Clinician Assignment
74Mental Health Conditional Discharge Period
75Mental Health Act Legal Status Classification Period

Note:
The list is not in alphabetical order.

 

top


ASSESSMENT TOOL TYPE

Change to Attribute: Changed Description

The type of ASSESSMENT TOOL.

National Codes:

001Health of the Nation Outcome Scale (Working Age Adults) 
002Health of the Nation Outcome Scale (Children and Adolescents) 
003Patient Health Questionnaire-9 
004Agoraphobia Questionnaire 
005Agoraphobia Mobility Inventory Questionnaire 'When Accompanied' 
006Agoraphobia Mobility Inventory Questionnaire 'When Alone' 
007Employment Status Questionnaire 
008Generalised Anxiety Disorder Penn State Worry Questionnaire 
009Generalised Anxiety Disorder Questionnaire 
010Health Anxiety Inventory Short Week Scale 
011Obsessive Compulsive Disorder Inventory Questionnaire 
012Panic Disorder Severity Scale 
013Post Traumatic Stress Disorder Impacts of Events Revised Scale 
014Social Phobia Inventory Questionnaire 
015Social Phobia Questionnaire 
016Specific Phobia Questionnaire 
017Work and Social Adjustment Scale 
018Health of the Nation Outcome Scale 65+ (Older Adults) 
019Health of the Nation Outcome Scale (Secure) 
020Mental Health Clustering Tool 
021Cardiovascular Disease Risk Calculator 
022Strengths And Difficulties Questionnaire 
023Experience of Service Questionnaire 
024Children's Global Assessment Scale 
025Family Assessment Device (General Functioning Subscale) 
026Parenting Daily Hassles 
027Parent-Infant Relationship Global Assessment Scale 
028Paddington Complexity Scale 
029Goal Based Outcomes 
030Mood And Feelings Questionnaire 
031Parenting Stress Index 
032Adult Comorbidity Evaluation - 27 
033Child-Pugh Score Calculator 
034Dysphagia Scoring System 
035Follicular Lymphoma International Prognostic Index 
036Hasenclever Index 
037Hasford Index 
038International Prognostic Scoring System 
039Nottingham Prognostic Index
040Revised International Prognostic Index 
041Sokal Index 
042Oxford Orthopaedic Questionnaire
043Oxford Orthopaedic Questionnaire (Shoulder)
044Venous Thromboembolism Risk Assessment Tool
045TPRG-SEND Two Year Corrected Age Outcome Assessment
046Bayley Scales of Infant and Toddler Development (Third Edition)
047Griffiths Mental Development Scales
048Schedule of Growing Skills
049Improving Access to Psychological Therapies Patient Experience Questionnaire
050Health of the Nation Outcome Scale for People with Learning Disabilities
051Protected Characteristic Protocol (Disability)
 

top


CONTRACEPTION METHOD

Change to Attribute: Changed Description

The CONTRACEPTION METHOD refers to the method of CONTRACEPTION used by a PATIENT.

National Codes:

01Injectable Contraception
02Implant
03Intrauterine Device (IUD)
04Intrauterine System (IUS)
05Vaginal Ring
06Contraception Patch
07Combined Pill
08Progesterone Only Pill
09Cap/Diaphragm
10Spermicides
11Natural Family Planning
12Condom (Male)
13Condom (Female)
01Injectable Contraception
02Implant
03Intrauterine Device (IUD)
04Intrauterine System (IUS)
05Vaginal Ring
06Contraception Patch
07Combined Pill
08Progesterone Only Pill
09Cap/Diaphragm
10Spermicides
11Natural Family Planning
12Condom (Male)
13Condom (Female)
 

top


DISCHARGE DESTINATION

Change to Attribute: Changed Description

The destination of a PATIENT on completion of a Hospital Provider Spell, or a note that the PATIENT died or was a still birth.

National Codes:

19Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes PATIENTS with no fixed abode.
29Temporary place of residence when usually resident elsewhere (includes hotel, residential educational establishment)
30Repatriation from high security psychiatric accommodation in an NHS Hospital Provider (NHS Trust or NHS Foundation Trust)
37Court
38Penal establishment or police station
48High Security Psychiatric Hospital, Scotland
49NHS other hospital provider - high security psychiatric accommodation
50NHS other hospital provider - medium secure unit
51NHS other hospital provider - ward for general PATIENTS or the younger physically disabled
52NHS other hospital provider - ward for maternity PATIENTS or Neonates 
53NHS other hospital provider - ward for PATIENTS who are mentally ill or have learning disabilities
54NHS run Care Home 
65Local Authority residential accommodation i.e. where care is provided
66Local Authority foster care
79Not applicable - PATIENT died or still birth
84Non-NHS run hospital - medium secure unit
85Non-NHS (other than Local Authority) run Care Home 
87Non-NHS run hospital
88Non-NHS (other than Local Authority) run Hospice
 

top


GROUP SESSION TYPE CODE FOR COMMUNITY CARE

Change to Attribute: Changed Description

The type of Group Session provided by a Community Health Service.

National Codes:

01Antenatal Session
02Parent/carer and Child Session
03General Health Promotion Session
04Screening Programme
05Stop Smoking Education Programme
06Substance Misuse
07Weight Management
08Contraception and Sexual Health
98Other
 

top


INVESTIGATION SENSITISED RESULT INDICATOR

Change to Attribute: Changed Description

An indication of whether a Clinical Investigation result is sensitised or non-sensitised. 

National Codes:

1Sensitised
2Non-sensitised
 

top


MENTAL HEALTH CARE CLUSTER CODE

Change to Attribute: Changed Description

The Mental Health Care Cluster assigned to a PATIENT.

National Codes:

00Care Cluster 0 - Variance (unable to assign MENTAL HEALTH CARE CLUSTER CODE)
01Care Cluster 1 - Common Mental Health Problems (Low Severity)
02Care Cluster 2 - Common Mental Health Problems (Low Severity with Greater Need)
03Care Cluster 3 - Non-Psychotic (Moderate Severity)
04Care Cluster 4 - Non-Psychotic (Severe)
05Care Cluster 5 - Non-Psychotic Disorders (Very Severe)
06Care Cluster 6 - Non-Psychotic Disorder of Over-Valued Ideas
07Care Cluster 7 - Enduring Non-Psychotic Disorders (High Disability)
08Care Cluster 8 - Non-Psychotic Chaotic and Challenging Disorders
09Care Cluster 9 - Cluster Under Review - Note: This Mental Health Care Cluster is under review and should not be used.
10Care Cluster 10 - First Episode Psychosis
11Care Cluster 11 - Ongoing Recurrent Psychosis (Low Symptoms)
12Care Cluster 12 - Ongoing or Recurrent Psychosis (High Disability)
13Care Cluster 13 - Ongoing or Recurrent Psychosis (High Symptoms and Disability)
14Care Cluster 14 - Psychotic Crisis
15Care Cluster 15 - Severe Psychotic Depression
16Care Cluster 16 - Dual Diagnosis
17Care Cluster 17 - Psychosis and Affective Disorder (Difficult to Engage)
18Care Cluster 18 - Cognitive Impairment (Low Need)
19Care Cluster 19 - Cognitive Impairment or Dementia Complicated (Moderate Need)
20Care Cluster 20 - Cognitive Impairment or Dementia Complicated (High Need)
21Care Cluster 21 - Cognitive Impairment or Dementia Complicated (High Physical or Engagement)
 

top


MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE

Change to Attribute: Changed Description

An indication of whether a PATIENT was seen by a single or multiple CARE PROFESSIONALS during an Clinic Attendance Consultant or Clinic Attendance Non-Consultant, recorded for the purposes of the National Tariff Payment System

National Codes:

1Uni-Professional clinic attendance
2Multi-Professional Consultation (National Tariff Payment System) clinic attendance
3Multi-Disciplinary Consultation (National Tariff Payment System)

Note:
This data item is included in Commissioning Data Set version 6-2, but should not be submitted until further development by the Department of Health has been undertaken.

 

top


ORGANISATION CODE

Change to Attribute: Changed Description

An ORGANISATION CODE is a code which identifies an ORGANISATION uniquely.

ORGANISATION CODES are managed by:

Notes:

ORGANISATION CODING FRAMES

  • All NHS ORGANISATIONS are coded using coding frames, as shown in the tables below:

Character
Position

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

Format

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

A Frame

 

Organisation
Type Identifier

 

Organisation Identifier

 
   

B Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

C Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

D Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

E Frame

 

Organisation Identifier

 
       

F Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
    

G Frame

 

Organisation Type Identifier

 

Practice Identifier

 
  

H Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

I Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

K Frame

 

Organisation Identifier

 
     

 L Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Organisation Type Identifier

 
   

M Frame

 

Organisation and Organisation Type Identifier

 
     

N Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

A Frame:

Example
Non NHS Organisation (Independent Provider) e.g. 8HA03

  • 8 = Organisation Type Identifier
  • Remainder = Organisation Identifier

B Frame:

Example
Local Service Provider e.g. LSP01

  • LSP = Organisation Type Identifier
  • 01 = Organisation Identifier

Also:

Application Service Providere.g. YGM01
Education Establishmente.g. YDF01
NHS Support Agencye.g. YDD01

C Frame:

Example
School e.g. EE134290

  • EE = Organisation Type Identifier
  • Remainder = Organisation Identifier

D Frame:

Example
Care Trust e.g. TAK

  • T = Organisation Type Identifier
  • AK = Organisation Identifier

Also:

Commissioning Support Unit (CSU) / Data Management and Integration Centre (DMIC) / Data Services for Commissioners Regional Office (DSCRO)e.g. 0AA
High Level Health Geography, e.g. Area Teame.g. Q44
Local Health Board (Wales)e.g. 7A1
NHS Truste.g. RH8

E Frame:

Example
Government Office Region (GOR) e.g. K

  • K = Organisation Identifier
Note: ORGANISATION TYPE of Government Office Region (GOR) is identified by a one character code; no other one character code exists.

F Frame:

Example
Pharmacy Headquarters e.g. P001

  • P = Organisation Type Identifier
  • 001 = Organisation Identifier

Also:

Care Home Headquarterse.g.CA0A
Optical Headquarters e.g.T1A1

G Frame:

Example
GP Practices in England and Wales e.g. Y00001

  • Y = Organisation Type Identifier
  • 00001 = Practice Identifier

Also:

Dental Practicee.g.V20052

H Frame:

Example
Cancer Network e.g. N01

  • N0 (where the 2nd character is numeric and not alpha) = Organisation Type Identifier
  • 1 = Organisation Identifier

Also:

Booking Management System (BMS) Call Centre Establishmente.g. YF1
Government Departmente.g. XDA
Independent Sector Healthcare Provider (ISHP) (where the 2nd character is alpha)e.g. NV7
National Application Service Providere.g. YEA
Other Statutory Authority (OSA)e.g. X16

I Frame:

Example
Special Health Authority (SpHA) e.g. T1150

  • T1 = Organisation Type Identifier
  • 150 = Organisation Identifier

K Frame:

Example
NHS Wales Informatics Service e.g. W00

  • W00 = Organisation Identifier

L Frame:

Example
Northern Ireland Local Commissioning Group e.g. ZC010

  • Characters 1-3 (ZC0) AND character 5 (0) = Organisation Type Identifier
  • Character 4 = Organisation Identifier

Note: this is a 5 character method of displaying Northern Ireland Local Commissioning Group identifiers.
Characters 3 and 5 are ‘fillers’. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory) zeros can be omitted, e.g. ZC1.
The 3 character method of displaying the Northern Ireland Local Commissioning Group identifiers fit under the H Frame.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.


M Frame:

Example
Clinical Commissioning Group (CCG) e.g. 12A

  • 12A = Organisation and Organisation Type Identifier

Also:

Local Authoritye.g.000


N Frame:

Example
GP Abeyance and Dispersal GP Practice e.g. G7817414

  • G78 = Organisation Type Identifier
  • 17414 = Organisation Identifier

The structure and format of ORGANISATION CODES maintained by the Organisation Data Service, NHS Prescription Services, NHS Dental Services and other agencies are detailed in the tables below.

ORGANISATION CODES TABLES

Table 1: CODING FORMATS FOR ORGANISATIONS IN ENGLAND AND WALES

Organisation Type

Frame Type

Character Position

Code allocated by:

Notes/Comments

 

See Coding Frames Table

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 
  

Application Service Provider

 

B

 

Y

 

G

 

M

 

A-9

 

A-9

 
   

ODS 

 

e.g. YGM01

 

Booking Management System (BMS) Call Centre Establishment

 

H

 

Y

 

F

 

A-9

 
     

ODS

 

e.g. YF1

 

Cancer Network

 

H

 

N

 

0-9

 

A-9

 
     

ODS

 

e.g. N01

 

Cancer Registry 

A

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. Y0401

 

Care Home Headquarters

 

F

 

A, C or D

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. CA0A

 

Care Trust (CT)

 

D

 

T

 

A-Y

 

A-Y

 
     

ODS

 

e.g. TAK

 

Clinical Commissioning Group (CCG

M

 

0-9

 

0-9

 

A-Y

 
     

ODS

 

e.g. 12A

 

Clinical Network

B

 

Y

 

D

 

G

 

A-9

 

A-9

 
   

ODS

 

e.g. YDG01

 

Commissioning Support Unit (CSU) / Data Management and Integration Centre (DMIC) / Data Services for Commissioners Regional Office (DSCRO)

D

 

0

 

A-Y

 

A-Y

 
     

ODS

 

e.g. 0AA

 

Dental Practice - England and Wales

 

G

 

V

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Dental Services

 

e.g. V20052

 

Education Establishment

 

B

 

Y

 

D

 

F

 

A-9

 

A-9

 
   

ODS

 

e.g. YDF01

 

Executive Agency

 

N/A

See Note 1 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X09

 

Executive Agency Programme

 

N/A

See Note 1 

X

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

ODS

 

First three characters denote Executive Agency

e.g. X09001

 

Government Department

 

H

 

X

 

A-Y

 

A-Y

 
     

ODS

 

e.g. XDA

 

Government Office Region (GOR)

 

E

A-Y

 
       

ONS

 

e.g. K

Government Office Regions (GORs) closed 31 March 2011 - from 1 April 2011 referred to as Regions

 

GP Abeyance and Dispersal GP Practice

 

N

G

 

7

 

8

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

ODS

 

e.g. G7817414

 

GP Practices in England and Wales

G

 

A-H,
J-N,
P,
W &
Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Prescription Services

 

Char 1 = W for Welsh GP Practice.

All other values represent GP Practices in England.

Note: from 2003, ALL newly allocated Practice Codes in England begin with a Y

e.g. Y00001

 

High Level Health Geography, e.g. Area Team

 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. Q44

 

Independent Sector Healthcare Provider (ISHP)

H

 

A, B, D, G, I, K, L, M , N, O, S, U, V, W

 

A-Y

 

A-Y, 0-9

 
     

ODS

 

e.g. NV7

 

Local Authority (LA)

 

M

 

0-9

 

0-9

 

0-9

 
     

ODS

 

e.g. 000

 

Local Health Board (Wales)

 

B

 

7

 

A-9

 

A-9

 
     

ODS 

 

e.g. 7A1 

 

Local Service Provider (LSP)

 

B

 

L

 

S

 

P

 

0-9

 

0-9

 
   

ODS

 

e.g. LSP01

 

Military Hospital

B

 

X

 

M

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g.XMDA1

 

National Application Service Provider

H

 

Y

 

E

 

A-9

 
     

ODS

 

e.g. YEA

 

National Groupings (England) 

H

Y

 

5

 

0-9

 
     

ODS

 

e.g. Y51

 

NHS Support Agency 

B

 

Y

 

D

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g. YDD01

 

NHS Trust

 

D

 

R

 

A-9

 

A-9

 
     

ODS

 

e.g. RH8

 

NHS Wales Informatics Service (NWIS)

 

K

 

W

 

0

 

0

 
     

ODS

 

Only one organisation of this type exists for Wales

e.g. W00

 

Non NHS Organisation (Independent Provider)

 

A

 

8

 

A-Y

 

A-9

 

0-9

 

0-9

 
   

ODS

 

e.g. 8HA03

 

Northern Ireland Health & Social Care Board

N/A

 

Z

 

B

 

0

 

0

 

1

 
   

ODS

 

e.g. ZB001

 

Northern Ireland Health & Social Care Trust

 

I

 

Z

 

T

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. ZT001

 

Northern Ireland Local Commissioning Group

 

L

 

Z

 

C

 

0

 

0-9

 

0

 
   

Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland

 

e.g. ZC010

Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009. 

 

Optical Headquarters

 

 

 

0-9

 

A-9

 

A-9

 
    

ODS 

 

e.g. T1A1 

 

Other Statutory Authority (OSA)

 

H

 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X16

 

Pharmacy

 

A

 

F

 

A-Y

 

A-9

 

A-9

 

A-9

 
   

ODS

 

e.g. FA002

 

Pharmacy Headquarters

 

F

 

P

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. P001

 

Primary Care Trust (PCT)

 

D

 

5

 

A-9

 

A-9

 
     

ODS

 

e.g. 5CT

All Primary Care Trusts closed 31 March 2013

Prison Health Service

B

 

Y

 

D

 

E

 

A-9

 

A-9

 
   

ODS

 

e.g. YDE01

 

School

 

C

 

E

 

E

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

Department for Education and ODS

 

e.g. EE134290

 

Special Health Authority (SpHA)

 

I

 

T

 

1

 

0-9

 

0-9

 

0

 
   

ODS

 

e.g. T1150

 

Strategic Health Authority (SHA)

 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. Q30

All Strategic Health Authorities in England closed 31 March 2013

Welsh Assembly

 

D

 

W

 

0-9

 

0-9

 

 

 

 
   

ODS

 

e.g. W01

 

Welsh Health Commission 

A

 

W

 

0-9

 

0-9

 

A-Y

 

A-Y

 
   

ODS

 

e.g. W01HC

 

Notes:

  • Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.

Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.

Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).

 

Table 2: CODING FORMATS FOR ORGANISATIONS IN SCOTLAND

Scottish ORGANISATION CODES are supplied by the Information Standards Directorate (ISD) from NHS Scotland and published by the Organisation Data Service.

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Scotland 

S

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS

 
 

Scottish GP Fundholder

 

S

 

A-Z

 

B

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the GPFH reports to.
3rd character (always B) shows GPFH status.

 

Scottish Health Agency

 

S

 

D

 

0-9

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character (D) identifies Scottish Office agencies

 

Scottish Health Board

 

S

 

A-Z

 

9

 

9

 

9

 
 

 ISD, Scotland

 

 

Scottish Provider

 

S

 

A-Z

 

A,C,D

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the organisation reports to.
3rd character identifies the organisation type:
A= Health Unit
C = Hospital Trust
D = Nursing Home

 

Table 3: CODING FORMATS for ORGANISATIONS in OTHER HOME COUNTRIES

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Alderney

 

A

 

L

 

D

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Guernsey

 

G

 

U

 

E

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Isle of Man (IOM)

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Jersey

 

J

 

E

 

R

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

Primary Healthcare Directorate (Isle of Man)

 

Y

 

K

 

A-9

 
   

ODS

 

e.g. YK1

 

Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

 

top


REHABILITATION ASSESSMENT TEAM TYPE

Change to Attribute: Changed Description

An indication of whether the CARE PROFESSIONAL TEAM undertaking a Rehabilitation Assessment, is specialised or non-specialised.

This information is recorded for the purposes of the National Tariff Payment System

National Codes:

1Specialised Rehabilitation Team
2Non-specialised Rehabilitation Team

Note:
This data item is included in Commissioning Data Set version 6-2, but should not be submitted until further development by the Department of Health has been undertaken.

 

top


SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

The source of referral of a Mental Health Care Spell.

National Codes:

 Primary Health Care 
A1GENERAL MEDICAL PRACTITIONER 
A2Health Visitor 
A3Other Primary Health Care
 Self Referral 
B1Self
B2Carer
 Local Authority Services 
C1Social Services
C2Education Service
 Employer 
D1Employer
 Justice System 
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
 Child Health 
F1School Nurse 
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector 
G1Independent sector - Medium Secure Inpatients
G2Independent Sector - Low Secure Inpatients
G3Other Independent Sector Mental Health Services
G4Voluntary Sector
 Acute Secondary Care 
H1Accident and Emergency Department 
H2Other secondary care specialty
 Other Mental Health NHS Trust 
I1Temporary transfer from another Mental Health NHS Trust
I2Permanent transfer from another Mental Health NHS Trust
 Internal referrals  from Community Mental Health Team (within own NHS Trust) 
J1Community Mental Health Team (Adult Mental Health)
J2Community Mental Health Team (Older People)
J3Community Mental Health Team (Learning Disabilities)
J4Community Mental Health Team (Child and Adolescent Mental Health)
 Internal referrals from Inpatient Service (within own NHS Trust) 
K1Inpatient Service (Adult Mental Health)
K2Inpatient Service (Older People)
K3Inpatient Service (Forensics)
K4Inpatient Service (Child and Adolescent Mental Health)
K5Inpatient Service (Learning Disabilities)
 Transfer by graduation (within own NHS Trust) 
L1Transfer by graduation from Child and Adolescent Mental Health Services to Adult Mental Health Services
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services
 Other
M1Asylum Services
M2Telephone or Electronic Access Service
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus **
M6Other service or agency
 Improving Access to Psychological Therapies
N1Stepped up from low intensity Improving Access to Psychological Therapies Service *
N2Stepped down from high intensity Improving Access to Psychological Therapies Service *

Notes:

 

top


ACCOMMODATION STATUS CODE

Change to Data Element: Changed Description

Format/Length:an4
HES Item: 
National Codes:See ACCOMMODATION STATUS CODE 
Default Codes:OC97 - Not specified
 OC98 - Not applicable
 OC99 - Not known

Notes:
ACCOMMODATION STATUS CODE is the same as attribute ACCOMMODATION STATUS CODE

top


AGE BAND AT SMOKING QUIT DATE

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National Codes: 
Default Codes:99 - Not known i.e. date of birth not known

Notes:
AGE BAND AT SMOKING QUIT DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PERSON and the SMOKING QUIT DATE of the Person Stop Smoking Episode.

Permitted National Codes:

01Under 18 years of age
01Under 18 years of age
0218 to 34 years of age
0335 - 44 years of age
0445 - 59 years of age
0560 and over years of age
 

top


CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT)

Change to Data Element: Changed Description

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

Notes:
CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT) is the same as attribute CARE PROFESSIONAL TYPE CODE.

CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT) is the CARE PROFESSIONAL TYPE CODE of the first CARE PROFESSIONAL seen by the mother within a Maternity Episode for Antenatal care.

Permitted National Codes:

170MIDWIFE
160GENERAL MEDICAL PRACTITIONER
060CONSULTANT 
XXXOther
 

top


CDS SENDER IDENTITY

Change to Data Element: Changed Description

Format/length:an3 or an5
HES item: 
National Codes: 
Default Codes: 

Notes:
CDS SENDER IDENTITY is the mandatory NHS ORGANISATION CODE of the ORGANISATION acting as the physical Sender of Commissioning Data Set submissions.

Usage:
The Commissioning Data Set sender must make sure that the Commissioning Data Set extraction and submission facilities and processes differentiate correctly between:

Once associated with the a Commissioning Data Set record and submitted to the Secondary Uses Service, the CDS SENDER IDENTITY should not be changed unless great care is taken to delete the original Commissioning Data Set records before any resubmission is undertaken.

Usually, the CDS SENDER IDENTITY is never altered once assigned. 

top


EMERGENCY CARE ATTENDANCES TOTAL

Change to Data Element: Changed Description

Format/Length:max n6
HES Item: 
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ATTENDANCES TOTAL is the total number of  Accident and Emergency Attendances to the same EMERGENCY CARE FACILTY TYPE, where the A AND E ATTENDANCE CATEGORY is: 

EMERGENCY CARE ATTENDANCES TOTAL excludes attendances at a Consultant Clinic.

 

top


LOCATION TYPE

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National Codes:See LOCATION TYPE CODE 
Default Codes: 

Notes:
LOCATION TYPE is the same as attribute LOCATION TYPE CODE.

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

The codes used for this Data Element are under review.

Permitted National Codes for use in the Commissioning Data Sets:

01Client's or PATIENT's Home
02Health Centre
03GP Practice premises other than Health Centre
04WARD on NHS Hospital Site 
06Hospice
07Other Voluntary or Private Hospital or Nursing Home
08Group Home managed by the NHS
09Group Home managed by Local Authority 
10Group Home managed by Voluntary or Private Agents
11Other Residential Care Homes managed by Local Authority 
12Other Residential Care Homes managed by Voluntary or Private Agents
13NHS Day Care Facility on NHS Hospital Site 
14NHS Day Care Facility on Other Sites
15Day Centre managed by Local Authority 
16Day Centre managed by Voluntary or Private Agents
17NHS Consultant Clinic Premises on a NHS Hospital Site 
18NHS Consultant Clinic Premises off a NHS Hospital Site 
19Health Clinic managed by the NHS
20Health Clinic managed by Voluntary or Private Agents
21Resource Centre on NHS Hospital Site 
22Resource Centre managed by the NHS off NHS Hospital Site 
23Resource Centre managed by Local Authority 
24Resource Centre managed by Voluntary or Private Agents
25Professional Staff Group Department on NHS Hospital Site 
26Professional Staff Group Department managed by the NHS off NHS Hospital Site 
27Professional Staff Group Department managed by Local Authority 
28Professional Staff Group Department managed by Voluntary or Private Agents
29Educational Establishment Premises managed by Local Authority or Grant Maintained
30Educational Establishment Premises managed by Voluntary or Private Agents
31Other Health or Local Authority Facility on NHS Hospital Site 
32Other Health or Local Authority Site managed by the NHS off NHS Hospital Site 
33Other Health or Local Authority Site managed by Local Authority 
34Other Health or Local Authority Site managed by Voluntary or Private Agents
35Prison Department Establishments
36Public Place or Street, or Police Station
37Other locations not classified elsewhere
38NHS Nursing Home
39Other Residential Care Homes managed by the NHS
01Client's or PATIENT's Home
02Health Centre
03GP Practice premises other than Health Centre
04WARD on NHS Hospital Site 
06Hospice
07Other Voluntary or Private Hospital or Nursing Home
08Group Home managed by the NHS
09Group Home managed by Local Authority 
10Group Home managed by Voluntary or Private Agents
11Other Residential Care Homes managed by Local Authority 
12Other Residential Care Homes managed by Voluntary or Private Agents
13NHS Day Care Facility on NHS Hospital Site 
14NHS Day Care Facility on Other Sites
15Day Centre managed by Local Authority 
16Day Centre managed by Voluntary or Private Agents
17NHS Consultant Clinic Premises on a NHS Hospital Site 
18NHS Consultant Clinic Premises off a NHS Hospital Site 
19Health Clinic managed by the NHS
20Health Clinic managed by Voluntary or Private Agents
21Resource Centre on NHS Hospital Site 
22Resource Centre managed by the NHS off NHS Hospital Site 
23Resource Centre managed by Local Authority 
24Resource Centre managed by Voluntary or Private Agents
25Professional Staff Group Department on NHS Hospital Site 
26Professional Staff Group Department managed by the NHS off NHS Hospital Site 
27Professional Staff Group Department managed by Local Authority 
28Professional Staff Group Department managed by Voluntary or Private Agents
29Educational Establishment Premises managed by Local Authority or Grant Maintained
30Educational Establishment Premises managed by Voluntary or Private Agents
31Other Health or Local Authority Facility on NHS Hospital Site 
32Other Health or Local Authority Site managed by the NHS off NHS Hospital Site 
33Other Health or Local Authority Site managed by Local Authority 
34Other Health or Local Authority Site managed by Voluntary or Private Agents
35Prison Department Establishments
36Public Place or Street, or Police Station
37Other locations not classified elsewhere
38NHS Nursing Home
39Other Residential Care Homes managed by the NHS

Use in the Future Outpatient CDS:
If the type of LOCATION where treatment is intended to take place is not yet known, this Data Element should be omitted.

 

top


MAIN SPECIALTY CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

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

Notes:
MAIN SPECIALTY CODE (MENTAL HEALTH) is the MAIN SPECIALTY CODE of the Mental Health Responsible Clinician for the PATIENT within the REPORTING PERIOD. If there is more than one during the REPORTING PERIOD, this will be the last or final one of REPORTING PERIOD.

If the Mental Health Responsible Clinician is the PATIENT's GENERAL MEDICAL PRACTITIONER, the code will be 600. If the Mental Health Responsible Clinician is a CONSULTANT, it will typically be one of the adult or elderly mental health MAIN SPECIALTIES, although it may be either a learning disability or child and adolescent psychiatry in certain circumstances. When the Mental Health Responsible Clinician is not a CONSULTANT, this should be the appropriate pseudo-specialty code or left blank.

Permitted National Codes:

600General Medical Practice
700Learning Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Psychotherapy
715Old Age Psychiatry
950Nursing Episode
960Allied Health Professional Episode
 

top


ORGANISATION CODE (PCT OF RESIDENCE)

Change to Data Element: Changed Description

Format/Length:an3
HES Item:PCTR
National Codes: 
ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION CODE (PCT OF RESIDENCE) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (PCT OF RESIDENCE) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

ORGANISATION CODES can be downloaded from the Organisation Data Service website or through the online Technology Reference Data Update Distribution Service (TRUD). For further information, see Organisation Data Service.

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors) should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (PCT OF RESIDENCE) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (PCT OF RESIDENCE).

At April 2013, Primary Care Trusts will no longer exist.  Health Care Providers still using Commissioning Data Set version 6-1 (CDS-XML schema 6-1-1) at this point must complete the ORGANISATION CODE (PCT OF RESIDENCE) field in the PATIENT IDENTITY group structures, with the data which is carried in ORGANISATION CODE (RESIDENCE RESPONSIBILITY) in Commissioning Data Set version 6-2 (generally, this will be the Clinical Commissioning Group (CCG) of Residence, where the CCG has taken over the responsibilities of the Primary Care Trust).

The Organisation Data Service provides postcode files which link postcodes to the Primary Care Trust. See NHS Postcode Directory.

 

top


SITE CODE (OF INTENDED PLACE OF DELIVERY)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
HES Item: 
National Codes: 
Default Codes:ZZ201 - Not applicable (intended to deliver at home) *
 ZZ888 - Not applicable (intended to deliver at non-NHS ORGANISATION) *
 ZZ203 - Not known (intended place of delivery not known) *

Notes:
SITE CODE (OF INTENDED PLACE OF DELIVERY) is the same as attribute ORGANISATION SITE CODE

SITE CODE (OF INTENDED PLACE OF DELIVERY) is the ORGANISATION SITE CODE of the ORGANISATION that is the intended place of delivery of the baby as part of a Maternity Episode.

* Note: default codes ZZ201, ZZ888 and ZZ203 are only valid for the National Neonatal Data Set - Episodic and Daily Care.

 

top


SOCIAL SERVICES CLIENT IDENTIFIER

Change to Data Element: Changed Description

Format/Length:an20
HES Item: 
National Codes: 
Default Codes: 

Notes:
SOCIAL SERVICES CLIENT IDENTIFIER is the same as attribute SOCIAL SERVICES CLIENT IDENTIFIER

top


SOURCE OF REFERRAL FOR A AND E

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See SOURCE OF REFERRAL FOR A and E
Default Codes: 

Notes:
SOURCE OF REFERRAL FOR A and E is the same as attribute SOURCE OF REFERRAL FOR A and E

top


SUSPENSION END DATE

Change to Data Element: Changed Description

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

Notes:
SUSPENSION END DATE is the same as the attribute LIST SUSPENSION END DATE

top


SUSPENSION START DATE

Change to Data Element: Changed Description

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

Notes:
SUSPENSION START DATE is the same as the attribute LIST SUSPENSION START DATE

top


WARD TYPE AT PSYCHIATRIC CENSUS DATE

Change to Data Element: Changed Description

Format/Length:n7
HES Item:CENWARD
National Codes: 
Default Codes: 

Notes:
DSCN 07/2000 implemented a change to replace this composite data element within Commissioning Data Set by the constituent components listed below. This description has been retained for information purposes only and this data element should not be used in any current or future message.

This is a composite data item required to be recorded within a Hospital Episode Statistics Psychiatric Census Record: Additional Data Field and is a description of the characteristics of a ward which covers resources available to intended users. It is derived from several constituent components each of which although based upon NHS Data Model and Dictionary attribute classifications, are not the same; for example, Home Leave has been added to each classification list.

The derived value has six constituent component parts, AABCDEF. The value is derived as follows:

AAClinical Care Intensity, see INTENDED CLINICAL CARE INTENSITY CODE 
BAge, see INTENDED AGE GROUP 
CSex, see SEX OF PATIENTS CODE
DHospital provider
ENumber of days open only during the day, see WARD DAY PERIOD AVAILABILITY CODE 
FNumber of days open at night, see WARD NIGHT PERIOD AVAILABILITY CODE 

Thus Home Leave on Psychiatric Census Date would be:

7199999Home Leave (non-psychiatric)
7299999Home Leave (psychiatric)
 

top


WARD TYPE AT START OF EPISODE

Change to Data Element: Changed Description

Format/Length:n7
HES Item:WARDSTRT
National Codes: 
Default Codes: 

Notes:
DSCN 07/2000 implemented a change to replace this composite data element within Commissioning Data Set by the constituent components listed below. This description has been retained for information purposes only and this data element should not be used in any current or future message.

This is a composite data item required to be recorded within a Hospital Episode Statistics General Episode Record and is a description of the characteristics of a ward which covers resources available to intended users. It is derived from several constituent components each of which although based upon NHS Data Model and Dictionary attribute classifications, are not the same; for example, Home Leave has been added to each classification list.

The derived value has six constituent component parts, AABCDEF. The value is derived as follows:

AAClinical Care Intensity, see INTENDED CLINICAL CARE INTENSITY 
BAge, see AGE GROUP INTENDED 
CSex, see SEX OF PATIENTS 
DHospital provider
ENumber of days open only during the day, see WARD DAY PERIOD AVAILABILITY 
FNumber of days open at night, see WARD NIGHT PERIOD AVAILABILITY 
 

top


For enquiries about this Change Request, please email information.standards@hscic.gov.uk