NHS Connecting for Health
NHS Data Model and Dictionary Service
| Type: | Change Request |
| Reference: | 1357 |
| Version No: | 1.0 |
| Subject: | Correction to the Child and Adolescent Mental Health Services Secondary Uses Data Set |
| Effective Date: | 1 April 2013 |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 20 December 2012 |
Background:
ISB 1072 Amd 30/2012 made changes to the Child and Adolescent Mental Health Services (CAMHS) Data Set standard.
Since publication of the Information Standards Notice it has been identified that a further change to the Child and Adolescent Mental Health Services Secondary Uses Data Set standard is required:
- In the Care Programme Approach (CPA) Care Episode table, Service Request Identifier has been removed and replaced with Local Patient Identifier.
This Change Request updates the Child and Adolescent Mental Health Services Secondary Uses Data Set in the NHS Data Model and Dictionary, to support the Information Standard.
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Summary of changes:
| Data Set | |
| CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET | Changed Description |
| Date: | 20 December 2012 |
| Sponsor: | Dr Sheila Shribman, National Clinical Director for Children, Young People and Maternity, Department of Health |
Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.
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Change to Data Set: Changed Description
Child and Adolescent Mental Health Services Secondary Uses Data Set Overview
The Child and Adolescent Mental Health Services Secondary Uses Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013.The Child and Adolescent Mental Health Services Secondary Uses Data Set has been incorporated early to allow users to see the changes, but please note that the mandated from date is 1 April 2013.
The Mandatory or Required (M/R) column indicates the recommendation for the inclusion of data:
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element.
| DEMOGRAPHICS, BACKGROUND AND MEDICATION |
|---|
| Master Patient Index and Risk Indicators: To carry the demographic and background details for the patient. One occurrence of this group is required. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) |
| M | ORGANISATION CODE (CODE OF PROVIDER) |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| R | NHS NUMBER |
| R | NHS NUMBER STATUS INDICATOR CODE |
| R | POSTCODE OF USUAL ADDRESS |
| R | PERSON BIRTH DATE |
| R | PERSON GENDER CODE CURRENT |
| R | ETHNIC CATEGORY |
| R | RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE |
| R | DFES ESTABLISHMENT NUMBER |
| R | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) |
| R | ATTEMPTED SUICIDE WITH INTENT INDICATOR |
| R | YOUNG CARER INDICATOR |
| R | CHILD PROTECTION PLAN INDICATOR |
| R | ORGANISATION CODE (RESPONSIBLE LOCAL AUTHORITY) |
| R | LOOKED AFTER CHILD INDICATOR |
| R | LEARNING DISABILITY INDICATOR |
| R | LEARNING DIFFICULTY INDICATOR |
| Accommodation Status: To carry details of the accommodation status of the patient. Multiple occurrences of this group are required, one for each accommodation status recorded. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | ACCOMMODATION STATUS DATE |
| M | ACCOMMODATION STATUS (MENTAL HEALTH) |
| Family: To carry details of the people with whom the patient is living. Multiple occurrences of this group are permitted, one for each person with whom the patient is living. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE |
| Medication: To carry details of any medication prescribed. Multiple occurrences of this group are permitted, one for each type of prescribed medication. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | PRESCRIPTION DATE |
| M | PRESCRIBED MEDICATION TYPE (CHILD AND ADOLESCENT MENTAL HEALTH) |
| LEGAL STATUS |
|---|
| Mental Health Act Event Episode: To carry the Mental Health Act Event Episodes of the patient. Multiple occurrences of this group are permitted, one for each Mental Health Act Event Episode that the patient is subject to. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) |
| M | START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) |
| R | EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) |
| R | EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) |
| R | END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) |
| R | END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) |
| R | MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE |
| R | MENTAL HEALTH ACT 2007 MENTAL CATEGORY |
| Supervised Community Treatment: To carry the details of each separate period of Supervised Community Treatment for the patient. Multiple occurrences of this group are permitted, one for each period of Supervised Community Treatment for the patient. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | START DATE (SUPERVISED COMMUNITY TREATMENT) |
| R | EXPIRY DATE (SUPERVISED COMMUNITY TREATMENT) |
| R | END DATE (SUPERVISED COMMUNITY TREATMENT) |
| R | SUPERVISED COMMUNITY TREATMENT END REASON |
| Supervised Community Treatment Recall: To carry the details of each separate period of recall into hospital for a patient on Supervised Community Treatment. Multiple occurrences of this group are permitted, one for each period of recall into hospital for the patient. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | START DATE (SUPERVISED COMMUNITY TREATMENT RECALL) |
| M | START TIME (SUPERVISED COMMUNITY TREATMENT RECALL) |
| R | END DATE (SUPERVISED COMMUNITY TREATMENT RECALL) |
| R | END TIME (SUPERVISED COMMUNITY TREATMENT RECALL) |
| Leave of Absence: To carry the details of each separate period of Mental Health Leave of Absence involving an overnight stay for the patient Multiple occurrences of this group are permitted, one for each period of Mental Health Leave of Absence for the patient. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | START DATE (MENTAL HEALTH LEAVE OF ABSENCE) |
| R | END DATE (MENTAL HEALTH LEAVE OF ABSENCE) |
| R | LEAVE OF ABSENCE END REASON |
| Absence Without Leave: To carry the details of each separate period of Mental Health Absence Without Leave for the patient. Multiple occurrences of this group are permitted, one for each period of Mental Health Absence Without Leave for the patient. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) |
| R | END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) |
| R | ABSENCE WITHOUT LEAVE END REASON |
| CAMHS REFERRAL AND DISCHARGE FROM SERVICE |
|---|
| CAMHS Referral: To carry details of the referral to and discharge from the Child and Adolescent Mental Health Service. One occurrence of this group is permitted. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | LOCAL PATIENT IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | REFERRAL REQUEST RECEIVED DATE |
| R | SOURCE OF REFERRAL FOR MENTAL HEALTH |
| R | CLINICAL RESPONSE PRIORITY TYPE |
| R | APPOINTMENT DATE (FIRST OFFERED) |
| R | APPOINTMENT DECLINED INDICATOR |
| R | DISCHARGE DATE (MENTAL HEALTH SERVICE) |
| R | DISCHARGE REASON (MENTAL HEALTH SERVICE) |
| Service Type Requested on Referral: To carry details of the type of service requested from the Child and Adolescent Mental Health Service. Multiple occurrences of this group are required, one for each type of requested service. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | SERVICE TYPE REQUESTED (CHILD AND ADOLESCENT MENTAL HEALTH) |
| Status of Service Request: To carry the status of the service request to the Child and Adolescent Mental Health Service. Multiple occurrences of this group are required, one for each service request status. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | SERVICE REQUEST STATUS DATE (MENTAL HEALTH) |
| M | STATUS OF SERVICE REQUEST (MENTAL HEALTH) |
| CAMHS ENCOUNTERS |
|---|
| CAMHS Contact: To carry details of contacts with the Child and Adolescent Mental Health Service. Multiple occurrences of this group are permitted, one for each contact with the patient. | |
|---|---|
| M/R | Data Set Data Elements |
| M | ATTENDANCE IDENTIFIER |
| M | APPOINTMENT DATE |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| R | CLINICAL CONTACT DURATION OF APPOINTMENT |
| R | APPOINTMENT PURPOSE (CHILD AND ADOLESCENT MENTAL HEALTH) |
| R | ACTIVITY LOCATION TYPE CODE |
| R | SITE CODE (OF APPOINTMENT) |
| R | ATTENDED OR DID NOT ATTEND CODE |
| Care Professional at CAMHS Contact: To carry details of the care professionals contact at each contact. Multiple occurrences of this group are permitted, one for each care professional. | |
|---|---|
| M/R | Data Set Data Elements |
| M | ATTENDANCE IDENTIFIER |
| M | APPOINTMENT DATE |
| M | SERVICE REQUEST IDENTIFIER |
| M | CARE PROFESSIONAL GROUP TYPE (CHILD AND ADOLESCENT MENTAL HEALTH) |
| R | DATE FIRST ENCOUNTERED PATIENT |
| Intervention at CAMHS Contact: To carry details of the type of Intervention at each contact. Multiple occurrences of this group are permitted, one for each care professional. | |
|---|---|
| M/R | Data Set Data Elements |
| M | ATTENDANCE IDENTIFIER |
| M | APPOINTMENT DATE |
| M | SERVICE REQUEST IDENTIFIER |
| M | INTERVENTION TYPE (CHILD AND ADOLESCENT MENTAL HEALTH) |
| CARE PLANNING |
|---|
| Care Programme Approach (CPA) Care Episode: To carry details of Care Programme Approach Care episodes for the patient. Multiple occurrences of this group are permitted, one for each Care Programme Approach Care Episode. | |
|---|---|
| M/R | Data Set Data Elements |
| M | LOCAL PATIENT IDENTIFIER |
| M | START DATE (CARE PROGRAMME APPROACH CARE) |
| R | END DATE (CARE PROGRAMME APPROACH CARE) |
| CAMHS Care Team: To carry details of Child and Adolescent Mental Health Care Teams responsible for the patients care. Multiple occurrences of this group are permitted, one for each Child and Adolescent Mental Health Care Team taking responsibility for the patient's care. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | CHILD AND ADOLESCENT MENTAL HEALTH CARE TEAM TYPE |
| M | CARE PROFESSIONAL TEAM START DATE |
| R | CARE PROFESSIONAL TEAM END DATE |
| R | CHILD AND ADOLESCENT MENTAL HEALTH TIER OF SERVICE |
| OUTCOMES |
|---|
| Strengths and Difficulties Questionnaire: To carry details of Strengths and Difficulties Questionnaire (SDQ) outcome measures. Multiple occurrences of this group are permitted, one for each Strengths and Difficulties Questionnaire (SDQ) outcome measure recorded. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | ASSESSMENT TOOL COMPLETION DATE |
| R | STRENGTHS AND DIFFICULTIES QUESTIONNAIRE VERSION |
| R | ASSESSMENT TOOL COMPLETION POINT |
| R | STRENGTHS AND DIFFICULTIES HYPERACTIVITY SCALE SCORE |
| R | STRENGTHS AND DIFFICULTIES EMOTIONAL PROBLEMS SCALE SCORE |
| R | STRENGTHS AND DIFFICULTIES CONDUCT PROBLEMS SCALE SCORE |
| R | STRENGTHS AND DIFFICULTIES PEER PROBLEMS SCALE SCORE |
| R | STRENGTHS AND DIFFICULTIES PROSOCIAL BEHAVIOUR SCALE SCORE |
| R | STRENGTHS AND DIFFICULTIES TOTAL IMPACT SCORE |
| Experience of Service Questionnaire: To carry details of Experience of Service Questionnaire (ESQ) outcome measures. Multiple occurrences of this group are permitted, one for each Experience of Service (ESQ) outcome measure recorded. | |
|---|---|
| M/R | Data Set Data Elements |
| M | ORGANISATION CODE (CODE OF PROVIDER) |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | ASSESSMENT TOOL COMPLETION DATE |
| R | EXPERIENCE OF SERVICE QUESTIONNAIRE VERSION |
| R | ASSESSMENT TOOL COMPLETION POINT |
| R | EXPERIENCE OF SERVICE QUESTION 1 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 2 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 3 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 4 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 5 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 6 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 7 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 8 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 9 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 10 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 11 SCORE |
| R | EXPERIENCE OF SERVICE QUESTION 12 SCORE |
| Health of the National Outcome Scale for Child and Adolescent: To carry details of Health of the Nation Outcome Scale - Child and Adolescent (HONOS-CA) outcome measures. Multiple occurrences of this group are permitted, one for each Health of the Nation Outcome Scale - Child and Adolescent (HONOS-CA) outcome measure recorded. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | ASSESSMENT TOOL COMPLETION DATE |
| R | HONOS-CA VERSION |
| R | ASSESSMENT TOOL COMPLETION POINT |
| R | HONOS-CA RATING 1 SCORE |
| R | HONOS-CA RATING 2 SCORE |
| R | HONOS-CA RATING 3 SCORE |
| R | HONOS-CA RATING 4 SCORE |
| R | HONOS-CA RATING 5 SCORE |
| R | HONOS-CA RATING 6 SCORE |
| R | HONOS-CA RATING 7 SCORE |
| R | HONOS-CA RATING 8 SCORE |
| R | HONOS-CA RATING 9 SCORE |
| R | HONOS-CA RATING 10 SCORE |
| R | HONOS-CA RATING 11 SCORE |
| R | HONOS-CA RATING 12 SCORE |
| R | HONOS-CA RATING 13 SCORE |
| R | HONOS-CA RATING B14 SCORE |
| R | HONOS-CA RATING B15 SCORE |
| Children's Global Assessment Scale Outcome: To carry details of Children's Global Assessment Scale (CGAS) outcome measures. Multiple occurrences of this group are permitted, one for each Children's Global Assessment Scale (CGAS) outcome measure recorded. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | ASSESSMENT TOOL COMPLETION DATE |
| R | ASSESSMENT TOOL COMPLETION POINT |
| R | CHILDRENS GLOBAL ASSESSMENT SCALE SCORE |
| R | CHILDRENS GLOBAL ASSESSMENT SCALE SCORE RANGE CODE |
| Other Assessment Tool: To carry details of other types of assessment tool completed during the Child and Adolescent Mental Health Care Spell. Multiple occurrences of this group are permitted, one for each assessment tool type completed. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | OTHER ASSESSMENT TOOL TYPE COMPLETED |
| M | ASSESSMENT TOOL COMPLETION DATE |
| R | ASSESSMENT TOOL COMPLETION POINT |
| INTERVENTIONS |
|---|
| Intervention Episode: To carry details of the Child and Adolescent Mental Health Clinical Intervention Episodes delivered to the patient. Multiple occurrences of this group are permitted, one for each episode delivered. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | INTERVENTION TYPE (CHILD AND ADOLESCENT MENTAL HEALTH) |
| M | START DATE (CHILD AND ADOLESCENT MENTAL HEALTH CLINICAL INTERVENTION EPISODE) |
| R | END DATE (CHILD AND ADOLESCENT MENTAL HEALTH CLINICAL INTERVENTION EPISODE) |
| HOSPITAL PROVIDER SPELLS |
|---|
| Hospital Provider Spell: To carry details of Hospital Provider Spells. Multiple occurrences of this group are permitted, one for each Hospital Provider Spell. | |
|---|---|
| M/R | Data Set Data Elements |
| M | HOSPITAL PROVIDER SPELL NUMBER |
| M | SERVICE REQUEST IDENTIFIER |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| M | START DATE (HOSPITAL PROVIDER SPELL) |
| R | CHILD AND ADOLESCENT MENTAL HEALTH ADMISSION SETTING |
| R | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) |
| R | DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) |
| R | DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) |
| Ward Stay: To carry details of Ward Stays during each Hospital Provider Spell. Multiple occurrences of this group are permitted, one for each Ward Stay within the Hospital Provider Spell. | |
|---|---|
| M/R | Data Set Data Elements |
| M | HOSPITAL PROVIDER SPELL NUMBER |
| M | START DATE (WARD STAY) |
| R | END DATE (WARD STAY) |
| R | SITE CODE (OF TREATMENT) |
| R | SEX OF PATIENTS CODE |
| R | INTENDED AGE GROUP |
| R | INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) |
| R | WARD SECURITY LEVEL |
| DIAGNOSES |
|---|
| Provisional Diagnosis: To carry details of provisional diagnoses made. Multiple occurrences of this group are required, one for each provisional diagnosis made. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | PROVISIONAL DIAGNOSIS DATE |
| M | PROVISIONAL DIAGNOSIS (ICD) |
| Primary Diagnosis: To carry details of the primary diagnoses made. One occurrence of this group is required. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | DIAGNOSIS DATE |
| M | PRIMARY DIAGNOSIS (ICD) |
| Secondary Diagnosis: To carry details of any secondary diagnoses made. Multiple occurrences of this group are required, one for each secondary diagnosis made. | |
|---|---|
| M/R | Data Set Data Elements |
| M | SERVICE REQUEST IDENTIFIER |
| M | DIAGNOSIS DATE |
| M | SECONDARY DIAGNOSIS (ICD) |
For enquiries about this Change Request, please email datastandards@nhs.net