Notes:
CDS PRIME RECIPIENT IDENTITY is the mandatory NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) representing the ORGANISATION determined to be the Commissioning Data Set Prime Recipient of the Commissioning Data Set Message as indicated in the Commissioning Data Set Addressing Grid.

Usage:
The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS TYPE for a PATIENT and must not change even if the ADDRESS or ORGANISATION CODE (RESIDENCE RESPONSIBILITY) of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.

CDS PRIME RECIPIENT IDENTITY is a mandatory data item crucial for the correct indexing of the database and must not be changed during the life of the associated Commissioning Data Set. It does not identify the first or most important recipient of data, i.e. there is no inference of primacy of one recipient over another.

Organisation Data Service Default Codes for CDS PRIME RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid. 

Please note that the following Organisation Data Service Default Codes must not be used in the Commissioning Data Set (CDS) header because they are not default Commissioner codes:

• Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
  • for the CDS PRIME RECIPIENT IDENTITY, a valid ORGANISATION CODE (PCT OF RESIDENCE) must be reported
• X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
  • for the CDS PRIME RECIPIENT IDENTITY, the Commissioning Data Set Addressing Grid confirms the correct code that should be reported for Overseas Visitors who are exempt from charges.

This data element is also known by these names:

Context	Alias
schema	ORGANISATION CODE (PRIME RECIPIENT IDENTITY)
plural	CDS PRIME RECIPIENT IDENTITIES