A and E Attendance Conclusion Time is an ACTIVITY DATE TIME.Accident and Emergency Attendance Conclusion Time is an ACTIVITY DATE TIME.

The time, recorded using a 24 hour clock, that a PATIENT's Accident and Emergency Attendance concludes or when treatment in Accident and Emergency is completed (whichever is the later).Accident and Emergency Attendance Conclusion Time is the time, recorded using a 24 hour clock:

• that a PATIENT's Accident and Emergency Attendance concludes or
• when treatment in an Accident and Emergency Department is completed (whichever is the later).

For those PATIENTS admitted into hospital, the A and E ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.

A and E Departure Time is an ACTIVITY DATE TIME.Accident and Emergency Departure Time is an ACTIVITY DATE TIME.

The time recorded using a 24 hour clock, that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.Accident and Emergency Departure Time is the time recorded using a 24 hour clock that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.

Notes: This time will be different from the A and E Attendance Conclusion Time for PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD.Notes: This time will be different from the Accident and Emergency Attendance Conclusion Time for PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD. The PATIENT may leave the Accident and Emergency Department temporarily during an Accident and Emergency Attendance, e.g. for an X-ray but they remain under the care of an Accident and Emergency CONSULTANT.

A and E Initial Assessment Time is an ACTIVITY DATE TIME.Accident and Emergency Initial Assessment Time is an ACTIVITY DATE TIME.

The time a PATIENT is assessed by medical or nursing staff in an Accident and Emergency Department to determine priority for treatment. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.Accident and Emergency Initial Assessment Time is the time a PATIENT is assessed by medical or nursing staff in an Accident and Emergency Department to determine priority for treatment.

The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

PATIENTS will be assessed within 15 minutes of their arrival in the Accident and Emergency Department.

The time, recorded using the 24 hour clock, that the PATIENT is seen by a health professional to diagnose the problem and arrange or start tests and start treatment as necessary.Accident and Emergency Time Seen For Treatment is an ACTIVITY DATE TIME.

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

Table 2 Treatment Function codes

There will be only one CARE PROFESSIONAL assigned to a PATIENT as the Mental Health Responsible Clinician at any one time. These assignments may change during the course of a Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.

The role of Mental Health Responsible Clinician was introduced in the Mental Health Act 2007 and replaces the role of the Responsible Medical Officer.

Information recorded for a Mental Health Responsible Clinician includes:

An indication of whether a PATIENT is making first or follow-up attendance at a particular Accident and Emergency Department.

Note:
An attendance at a Consultant Clinic following an Accident and Emergency Attendance is an Out-Patient Attendance Consultant and not an Accident and Emergency Attendance even if the clinic may be held in or near the Accident and Emergency Department, e.g. a Fracture Clinic.

National Codes:

The type of place where the incident occurred which led to an Accident and Emergency Episode.

Note: This applies to trauma and accident cases only.

National Codes:

The category assigned to a PATIENT as a result of an initial assessment by medical or nursing staff in an Accident and Emergency Department. The triage category is used to determine the PATIENT's priority for treatment, and to inform the PATIENT of their waiting time.

The triage category is used to determine the PATIENT's priority for treatment, and to inform the PATIENT of their waiting time.

National Codes:

References:
Triage and casemix accident and emergency medicine. Marrow, J. European Journal of Emergency Medicine 1998; 5: 53-58

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

National Codes:

Dates

Note: This list is not in alphabetical order.

Times

Note: This list is not in alphabetical order.

Notes:
The time, recorded using a 24 hour clock, that a PATIENT's Accident and Emergency Attendance concludes or when treatment in Accident and Emergency is completed (whichever is the later).

For those PATIENTS admitted into hospital, the A and E ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.

A and E ATTENDANCE CONCLUSION TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 50 'A+E Attendance Conclusion Time'.

Accident and Emergency Attendance is a CARE CONTACT where the CARE CONTACT TYPE is National Code 01 'Accident And Emergency Attendance'.

Notes:
A number allocated by an Accident and Emergency Department to provide a unique identifier for each Accident and Emergency Attendance.

A and E ATTENDANCE NUMBER is the same as attribute ACTIVITY IDENTIFIER of ACTIVITYA and E ATTENDANCE NUMBER is a number allocated by an Accident and Emergency Department to provide a unique identifier for each Accident and Emergency Attendance.

Accident and Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

Accident and Emergency Attendance is a CARE CONTACT where CARE CONTACT TYPE is National Code 01 'Accident And Emergency Attendance'.

Notes:
A and E DEPARTMENT TYPE is the same as attribute ACCIDENT AND EMERGENCY DEPARTMENT TYPE.

A classification of ACCIDENT AND EMERGENCY DEPARTMENT TYPE according to the ACTIVITY performed.

Do not record temporary absences from the Accident and Emergency Department as departures; for example, during an Accident and Emergency Attendance the PATIENT may leave the department for a short time for an X-ray, but they remain under the care of an Accident and Emergency CONSULTANT. Note that A and E ATTENDANCE CONCLUSION TIME and A AND E DEPARTURE TIMES will be different for those PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a ward.

A and E DEPARTURE TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 51 'A+E Departure Time'.

Accident and Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

Accident and Emergency Attendance is a CARE CONTACT where the CARE CONTACT TYPE is National Code 01 'Accident And Emergency Attendance'.

Notes:
A and E INCIDENT LOCATION TYPE is the same as attribute A AND E INCIDENT LOCATION TYPE.

The National Codes are not mutually exclusive; for example, an accident could happen at work which is also a School.

The classifications are not mutually exclusive; for example, an accident could happen at work which is also a School. In such cases, the selection of the classification needs to be based on the status of the PATIENT. If he or she is a member of staff of the school, the A and E INCIDENT LOCATION TYPE would be Work; if he or she is a student, it would be Educational Establishment.In such cases, the selection of the National Code should be based on the status of the PATIENT.

• is a member of staff of the school, the A and E INCIDENT LOCATION TYPE would be Work;
• is a student, the A and E INCIDENT LOCATION TYPE would be Educational Establishment.

Notes:
The time a PATIENT is assessed by medical or nursing staff in an Accident and Emergency Department to determine priority for treatment, for first and unplanned follow-up attendances only. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

PATIENTS will be assessed within 15 minutes of their arrival in the Accident and Emergency Department, for first and unplanned follow-up attendances only.

A and E INITIAL ASSESSMENT TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 52 'A+E Initial Assessment Time'.

Accident and Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

Notes:
A locally determined code used to identify the PERSON principally responsible for the care of a PATIENT during an Accident and Emergency Attendance. In the majority of cases this will be the PERSON who took responsibility for the discharge of the PATIENT.

A and E STAFF MEMBER CODE is the same as attribute CARE PROFESSIONAL IDENTIFIER of CARE PROFESSIONAL.A and E STAFF MEMBER CODE is a locally determined code used to identify the PERSON principally responsible for the care of a PATIENT during an Accident and Emergency Attendance.

Accident and Emergency Attendance is a CARE CONTACT where the CARE CONTACT TYPE is National Code 01 'Accident And Emergency Attendance'.

Notes:
The time, recorded using the 24 hour clock, that the PATIENT is seen by a health professional to diagnose the problem and arrange or start tests and start treatment as necessary.

A and E TIME SEEN FOR TREATMENT is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 53 'A+E Time Seen For Treatment'.