Notes:

Definition:
The time (with an associated CDS APPLICABLE DATE) of the update event (or the nearest equivalent) that resulted in the need to exchange this Commissioning data.

Usage:
This data element is mandatory when used with the Commissioning Data Set Net Change Update Mechanism. It is not required when the CDS Bulk Replacement Update Mechanism is used. See the Commissioning Data Set Submission Protocol.

The CDS APPLICABLE TIME (and CDS APPLICABLE DATE if supplied) is stored in the Secondary Uses Service database and in the event of multiple submissions of the same uniquely identified Commissioning data (even in separate interchanges), the Secondary Uses Service database update process is then able to use the date and time to ensure correct updating of the Commissioning data in the correct relative date/time sequence.

CDS-XML Interchanges:
Used in the NHS standard format which is the e-Government Interoperability Framework (e-GIF) compliant format of HH:MM:SS (and an optional.sss).

This data element is also known by these names:

Context	Alias
plural	CDS APPLICABLE TIMES