Admitted Patient Flows Data Set Overview

This replaces Korner Returns KH06 and KH07.

The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient admission activity flows. This central information requirement provides performance management measures of waiting times and helps to identify those organisations failing to meet the standards of the NHS Plan.

The Admitted Patient Flows Data Set is provider or commissioner based depending upon the ORGANISATION submitting the data set. Providers are care ORGANISATIONS providing admitted patient care and treatment for NHS PATIENTS. Commissioners are the ORGANISATIONS commissioning admitted patient care for NHS PATIENTS

Data collection

The NHS report data sets to the Department of Health monthly and quarterly via Unify2, an online data collection system. Trusts and Primary Care Trusts can either enter data directly onto Unify2, or upload from spreadsheets provided to ease data input.

These returns flow through Strategic Health Authorities, and require their sign off before they are accessed by the Department of Health.

Data providers are required to submit data by the 15th working day following the month end, with publication being on the Friday following the 20th working day after month end.

The Admitted Patient Flows Data Set contains the admission activity for the specified REPORTING PERIOD.

Admitted Patient Stocks Data Set Overview

This replaces the Korner Return KH07.

The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient day case and ordinary admission stocks. This central information requirement provides performance management measures of waiting times and helps to identify those ORGANISATIONS failing to meet the standards of the NHS Plan.

The Admitted Patient Stocks Data Set is provider or commissioner based depending upon the Organisation submitting the data set. Providers are care ORGANISATIONS providing in-patient care and treatment for NHS PATIENTS. Commissioners are the ORGANISATIONS commissioning in-patient care for NHS PATIENTS

Data collection

The NHS report data sets to the Department of Health monthly and quarterly via Unify2, an online data collection system. Trusts and Primary Care Trusts can either enter data directly onto Unify2, or upload from spreadsheets provided to ease data input.

These returns flow through Strategic Health Authorities, and require their sign off before they are accessed by the Department of Health.

Data providers are required to submit data by the 15th working day following the month end, with publication being on the Friday following the 20th working day after month end.

The Admitted Patient Stocks Data Set contains the in-patient waiting to be admitted stocks as at the end of the specified REPORTING PERIOD.

The use of XML has been mandated by the e-GIF programme as the standard to be used for messaging by government organisations and has accordingly been adopted by the NHS.

For the submission of Commissioning Data Set data to the Secondary Uses Service, XML based messaging has been developed to be fully adopted by the end of 2007, replacing all previously published Commissioning Data Set Message formats.

Schema Standards
The overall standards applied and supported by the schema are:

• W3C schema standards
• e-Government Interoperability Framework (e-GIF)
• e-GOV Best Practice guidelines for XML Schema
• The NHS Data Model and Dictionary

Schema Naming Conventions
These are in CamelCase reflecting recommended e-GOV guidelines for best practice. Wherever possible, schema data item names are compliant (or intuitively identifiable) with the NHS Data Model and Dictionary data naming conventions.

Schema Components
The schema consists of the following components:

• The CDS-XML Message Root
• The CDS-XML Standard Data Structures
• The CDS-XML Standard Data Elements
• CDS TYPE Sub-Schemas
• CDS TYPE Sub-Schemas

The Schema Root
The schema root is the control section of the schema and uses the "XML Include" technique to call schema sub-components:

• The Standard Data Structures
• The Standard Data Elements
• All CDS TYPE sub-component schemas, including the CDS Headers and Trailers
• All CDS TYPE sub-component schemas, including the Commissioning Data Set Headers and Trailers

• SchemaVersion
• SchemaDate

This implementation of the schema does not enforce the sequence of data elements within its data structures (nor its data structures within the schema), nor is it foreseen that this will be enforced in future. For ease of understanding, users are advised to implement the structure sequences as published.

In general, the restraints on the permitted occurrences of data groups have been removed and in most cases, unbounded occurrences of iterating data structures are supported. The NHS Data Model and Dictionary defines the actual requirements for the use of NHS data.

Schema Component: Standard Data Elements
Schema data items are defined with _Type suffixes and usually refer to a standard list of XML data types which are usually qualified with an enumeration list to reflect the NHS Data Standards as published in the NHS Data Model and Dictionary.

Schema Component: XML Attributes
XML Attributes are used (sparingly) to enforce certain logical data and structure relationships, an example being to determine the type of Critical Care Period data being carried.

Home Help Visit is an CARE CONTACT.Home Help Visit is a CARE CONTACT.

A visit to the usual place of residence of a PATIENT subject to a Mental Health Care Spell, by domiciliary care staff. The domiciliary care staff are employed or funded by Local Authority Social Services.

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.

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 Data Model and Dictionary Service; see Contact Details.For further information, contact the Health and Social Care Information Centre by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

Table 2 Treatment Function codes

Notes:

• TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
• GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
• Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
• CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
• CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards
• CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
• CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
• CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
• CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
• CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
• CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
• CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
• CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
• CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
• CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
• CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
• CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
• CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
• CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
• CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
• CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
• CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
• CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
• CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
• CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
• CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
• CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
• CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
• CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
• CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
• CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
• CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
• CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
• CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
• CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
• CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
• CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
• CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
• CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
• CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
• CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
• CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
• CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
• CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
• CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
• CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
• CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
• CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
• CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
• CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
• CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
• CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
• CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
• CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
• CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
• CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
• CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
• CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
• CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
• CR791 (1 April 2007) - DSCN 13/2006 Priority Type
• CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
• Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
• CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
• CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
• CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
• CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
• CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
• CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
• CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
• CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
• CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

One of the business definitions listed in the ACTIVITY GROUP class as a type of this class.

Consultant Episode (Hospital Provider) has four 'sub types' (General, Birth, Delivery and Detained and Long Term Psychiatric Patient Census) which form four individual ACTIVITY GROUP TYPE values.

National Codes:

Note: The list is not in alphabetical order.

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:

Identifies the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure. This is an abbreviated version of the American Society of Anaesthesiologists Physical Status grading. This is an abbreviated version of the American Society of Anesthesiologists Physical Status grading.

National Codes:

References:
National Joint Registry Dataset: v.1: 24th March 2003

Notes:
This is a working diagnosis at the time of admission. The primary purpose is to identify those patients who are admitted with a diagnosis of definite (ST elevation MI). Do not change Admission diagnosis on the basis of further ECGs or enzymes/markers.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Admission Diagnosis Admission Diagnosis

Notes:
Refers to the unit to which the patient is admitted either from A&E or directly by ambulance service and where patient will spend majority of first 24 hours in hospital. If patient admitted direct to the catheter lab, enter facility to which patient admitted on leaving lab.Refers to the unit to which the PATIENT is admitted either from A&E or directly by ambulance service and where PATIENT will spend majority of first 24 hours in hospital. If PATIENT admitted direct to the catheter lab, enter facility to which PATIENT admitted on leaving lab.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Admission WardAdmission Ward

Notes:
The clinician having primary rather than advisory care of the patient immediately (first 24 hours) after admission to hospital (not the A&E consultant).The clinician having primary rather than advisory care of the PATIENT immediately (first 24 hours) after admission to hospital (not the A&E CONSULTANT).

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Admitting Consultant Admitting Consultant

Notes:
AMI CAUSE OF DEATH IN HOSPITAL is the same as attribute AMI CAUSE OF DEATH IN HOSPITAL. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Death in hospital Death in hospital

Notes:
AMI DISCHARGE DIAGNOSIS is the same as attribute AMI ADMISSION DIAGNOSIS. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharge Diagnosis Discharge Diagnosis

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Angiotensin II Blocker (ARB)Angiotensin II Blocker (ARB)

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Calcium channel blockerCalcium channel blocker

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Excludes use of 2b/3a agents started during PCI.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
IV 2b/3a AGENTIV 2b/3a AGENT

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
IV beta blockerIV beta blocker

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
IV NitrateIV Nitrate

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use when a diuretic drug is introduced or used in increased dose.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Loop diureticLoop diuretic

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use of low molecular weight heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Low molecular weight heparinLow molecular weight heparin

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

For example - dipyridamole.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Other oral anti-platelet agentOther oral anti-platelet agent

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Does not include sublingual nitroglycerine or spray used on an as-needed basis.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Oral nitrateOral nitrate

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Potassium channel modulatorPotassium channel modulator

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
SpironolactoneSpironolactone

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use when a diuretic drug is introduced or used in increased dose.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Thiazide diureticThiazide diuretic

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

For example - clopidogrel, ticlopidine.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Thienopyridine platelet inhibitorThienopyridine platelet inhibitor

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use of unfractionated heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Unfractionated heparin

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
WarfarinWarfarin

Notes:
The heart rate recorded from the first ECG after admission to hospital, whilst in a stable cardiac rhythm i.e. sinus rhythm, or chronic AF. In complete heart block record ventricular rate. Where the presenting rhythm is a treatable tachyarrhythmia, the first stable heart rate after treatment should be used.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Heart RateHeart Rate

Notes:
The DATE on which an angiogram is performed within the Acute Myocardial Infarction Care Spell.

ANGIOGRAM DATE is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 01 'Angiogram Date'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date of angio performed locallyDate of angio performed locally

Notes:
This is the same as ASPIRIN THERAPY LOCATION CODE.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Where was Aspirin GivenWhere was Aspirin Given

Notes:
This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME for the first verified CARDIAC ARREST within the Acute Myocardial Infarction Care Spell.

Date and time of first verified arrest only to be reported. Excludes syncope or profound vagally-mediated bradycardia. Enter date and time of death if resuscitation not attempted.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Cardiac arrest date/time - FIRST ARREST ONLYCardiac arrest date/time - FIRST ARREST ONLY

Notes:
CARDIAC ARREST LOCATION is the same as attribute CARDIAC ARREST LOCATION. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Cardiac arrest location Cardiac arrest location

Notes:
CARDIAC ARREST OUTCOME (FIRST) is the same as attribute CARDIAC ARREST OUTCOME.

Applies only to outcome of the first arrest. This should include arrests in which resuscitation was deemed to be inappropriate. Enter the fact that resuscitation was not attempted for whatever reason (such as severe co-morbidity). If further arrests occur, the outcome will be recorded as AMI CAUSE OF DEATH IN HOSPITAL.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Outcome Of Arrest Outcome Of Arrest

Notes:
CARDIAC ARREST PRESENTING RHYTHM is the same as attribute CARDIAC ARREST PRESENTING RHYTHM. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Arrest Presenting Rhythm Arrest Presenting Rhythm

Notes:
The identifier allocated to the hospital by the Central Cardiac Audit Database (CCAD). A legacy system used by CCAD for identification and analysis of an individual centre data.

The national standard for hospital identification is SITE CODE (OF TREATMENT) and must also be included in the national Dataset.The national standard for hospital identification is SITE CODE (OF TREATMENT) and must also be included in the national data set.

See www.See www.ccad.org.uk

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Hospital Identifier

Notes:
CCAD HOSPITAL IDENTIFIER (REFERRING) is the same as attribute CCAD HOSPITAL IDENTIFIER.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Referral centre

Notes:

Definition:
The CDS Group into which CDS Types must be grouped when using the CDS Bulk Replacement Update Mechanism.The Commissioning Data Set Group into which CDS TYPES must be grouped when using the Commissioning Data Set Bulk Replacement Update Mechanism.

Permitted values are:

Usage:
This is a mandatory data item when the CDS Bulk Replacement Update Mechanism is used and is not required when the CDS Net Change Update Mechanism is used.This is a mandatory data item when the Commissioning Data Set Bulk Replacement Update Mechanism is used and is not required when the Commissioning Data Set Net Change Update Mechanism is used.

The CDS Bulk Replacement Update Mechanism process identifies previously transferred CDSs Types that are to be replaced by the submitted CDS interchange.The Commissioning Data Set Bulk Replacement Update Mechanism process identifies previously transferred CDS TYPES that are to be replaced by the submitted Commissioning Data Set interchange. To do this the CDS BULK REPLACEMENT GROUP must be used together with the following data items:

CDS REPORT PERIOD START DATE
CDS REPORT PERIOD END DATE
CDS INTERCHANGE SENDER IDENTITY
CDS PRIME RECIPIENT IDENTITY

It is particularly important when using the CDS Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP to contain all the relevant CDS Types for the extracted time period in a single CDS Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.It is particularly important when using the Commissioning Data Set Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP to contain all the relevant CDS TYPES for the extracted time period in a single Commissioning Data Set Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.

CCAD item name:Notes:
Coronary Angiography at this AdmissionCORONARY ANGIOGRAPHY PERFORMED is the same as attribute CORONARY ANGIOGRAPHY PERFORMED. 

Notes:
CORONARY INTERVENTION PERFORMED is the same as attribute CORONARY INTERVENTION PERFORMED. 

Procedure for recurrent symptoms or as an elective procedure.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Coronary Intervention at this Admission Coronary Intervention at this Admission

This is the country where the PERSON was born.

COUNTRY CODE (BIRTH) is the same as attribute COUNTRY CODE.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www.iso.org/iso/home.htm

Note: The 2-char alphabetic code must not be used.htm. The 2-char alphabetic code must not be used.

Notes:
The total number of female PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was not present or not the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode type.

Notes:
The total number of male PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was not present or not the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode type.

Notes:
The total number of female PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode type.

Notes:
The total number of male PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode.

Notes:
A DIABETES ROUTINE REVIEW CODE of the eyes within an approved diabetes eye screening programme.

Notes:
A DIABETES ROUTINE REVIEW CODE of the foot carried out by appropriately trained personnel using an approved foot screening procedure.

Notes:
Patient discharged from hospital on angiotensin converting enzyme inhibitor or angiotensin receptor blocker.PATIENT discharged from hospital on angiotensin converting enzyme inhibitor or angiotensin receptor blocker.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Angiotensin Inhibitor

Notes:
Patient discharged from hospital taking aspirin or any other anti-platelet agent.PATIENT discharged from hospital taking aspirin or any other anti-platelet agent.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharged on Aspirin or Other Anti-platelet

Notes:
Patient discharged from hospital on oral beta adrenergic blocker treatment.PATIENT discharged from hospital on oral beta adrenergic blocker treatment.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharged On Beta Blocker

Notes:
Patient discharged from hospital on a statinPATIENT discharged from hospital on a statin

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharged On Statin

Notes:
ECG DETERMINING TREATMENT is the same as attribute ECG DETERMINING TREATMENT.

The ECG appearances upon which a decision to offer reperfusion treatment including angioplasty, was based.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
ECG Determining Treatment

Notes:
Derive from CLINICAL INTERVENTION whether an echocardiography was performed during the Hospital Provider Spell within the Acute Myocardial Infarction Care Spell or is planned after admission and recorded as Therapy After Discharge with DISCHARGE THERAPY TYPE 'echocardiology'.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National code 02 'Acute Myocardial Infarction Care Spell'.

Therapy After Discharge is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 31 'Therapy After Discharge'.

The derived values are:

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Echocardiography

Notes:
This is derived from the e-GIF elements DATE and TIME.

This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY for the Acute Myocardial Infarction History Item where the AMI HISTORY ITEM TYPE is 'Arrival of Emergency Service'.

Acute Myocardial Infarction History Item is a PERSON PROPERTY CLASSIFIER where the PERSON PROPERTY CLASSIFICATION is National Code 07 'Acute Myocardial Infarction History Item'.

Routine ambulance service data.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date/time of symptom onset

Notes:
Derive from whether an exercise test was performed during the Hospital Provider Spell within the Acute Myocardial Infarction Care Spell or is planned after admission and recorded as Therapy After Discharge where DISCHARGE THERAPY TYPE of CLINICAL INTERVENTION is National Code 02 'Exercise Test'.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

Therapy After Discharge is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 31 'Therapy After Discharge'.

The derived values are:

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Exercise Test

Notes:
The total number of female PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was not present or not the primary reason for using the Mental Health Act.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

Notes:
The total number of male PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was not present or not the primary reason for using the Mental Health Act.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

Notes:
The total number of female PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was the primary reason for using the Mental Health Act.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recalll are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

Notes:
The total number of male PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was the primary reason for using the Mental Health Act.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is: