This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The data carried in the three National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set and Child and Adolescent Mental Health Services Data Set) must be structured in a particular way for submission nationally. Data items in the files, including the items in the header records, are pipe-delimited (| character). Data items in the files, including the items in the header records, are tilde-delimited (~ character).

Each data set submission file of data is structured in the following way:

• Data Set File Header Row
• Data Set Segment Row(s)
• Data Set File Trailer Row
• Data Set File Footer Row

See below for the file structure for each data set row:

• Data Set File Header Row

This contains information about the submission file, and is structured as follows, for all three data sets:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value HDR in a file header row)

YEAR AND MONTH OF REPORTING PERIOD

DATE AND TIME DATA SET CREATED

DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)

DATA SET VERSION NUMBER

ORGANISATION CODE (CODE OF PROVIDER)

DATA SET VERSION NUMBER

ORGANISATION CODE (CODE OF PROVIDER)

REPORTING PERIOD START DATE

REPORTING PERIOD END DATE

DATE AND TIME DATA SET CREATED

DATA SET SEGMENT RECORDS TOTAL

The Data Set File Header row is present only once, as the first record in the submission file.

• Data Set Segment Row

This contains Segment type and PATIENT identification information followed by segment content data items, and is structured as follows:

• For the Maternity Data Set:

For the Booking and Dating Scan, Infectious Diseases and Inherited Blood Disorders, Antenatal, Labour and Delivery, and Postnatal Data Segment Groups:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)

DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET)

NHS NUMBER (MOTHER)

ESTIMATED DATE OF DELIVERY (AGREED)

DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET) or DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET) or DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)

For the Baby Data Segment Groups

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)

DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET)

NHS NUMBER (MOTHER)

ESTIMATED DATE OF DELIVERY (AGREED)

NHS NUMBER (BABY)

• For the Child and Adolescent Mental Health Services Data Set and the National Children's and Young People's Health Services Data Set:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)

DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET) or DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)

NHS NUMBER

This is followed in the same row by the segment content data items, which vary depending on which segment is being submitted. This structure is repeated for each data record within the file.

• Data Set File Trailer Row
• Data Set File Footer Row

This contains some of the same information as the Data Set File Header row, plus a count of all segment records within the file, as a data quality check, and is structured as follows:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value TRL in a file trailer row)

YEAR AND MONTH OF REPORTING PERIOD

DATE AND TIME DATA SET CREATED

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value TRL in a file footer row)

DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)

DATA SET VERSION NUMBER

ORGANISATION CODE (CODE OF PROVIDER)

REPORTING PERIOD START DATE

REPORTING PERIOD END DATE

DATE AND TIME DATA SET CREATED

DATA SET SEGMENT RECORDS TOTAL

ORGANISATION CODE (CODE OF PROVIDER)

The Data Set File Trailer Row is present only once, as the last record in the submission file.The Data Set File Footer Row is present only once, as the last record in the submission file.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

A Learning Difficulty is a type of Special Education Needs, which affects areas of learning, such as reading, writing, spelling, mathematics etc.

There are several levels of Learning Difficulties, such as:

• Specific Learning Difficulty - a particular difficulty in learning to read, write, spell etc
• Moderate Learning Difficulty - achievements well below expected levels in all or most areas of the curriculum, despite appropriate interventions
• Severe Learning Difficulty - significant intellectual or cognitive impairments
• Profound and Multiple Learning Difficulty - multiple Learning Difficulties have severe and complex learning needs, in addition they have other significant difficulties, such as physical disabilities or a sensory impairment.

For further information on Learning Difficulties, see the teachernet website.For further information on Learning Difficulties, see the Department for Education website.

Note: a Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

A Patient Proxy is a PERSON.

A Patient Proxy is a representative of the PATIENT. This is most likely to be the case where the PATIENT is unable to communicate effectively, for example, for an infant or a PERSON who is mentally ill or who has learning disabilities.

This supporting information is also known by these names:

Context	Alias
plural	Patient Proxies

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

A type of PERSON PROPERTY.

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.

CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and includes:

• ACCOMMODATION
• ALCOHOL STATUS
• ASPIRIN THERAPY LOCATION
• BLEED COMPLICATION
• CONTRACEPTION
• DISABILITY
• DISABILITY SEVERITY
• ETHNIC CATEGORY
• JOINT REPLACEMENT REVISION CLASSIFICATION
• LANGUAGE CLASSIFICATION
• MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION
• PATIENT CLINICAL GROUP
• PERFORMANCE STATUS
• PERSON GENDER
• PERSON MARITAL STATUS
• REFUGEE OR ASYLUM SEEKER
• RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
• RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
• SARCOMA PREDISPOSING CONDITION
• SEXUAL ORIENTATION
• SKIN LYMPHOMA MORPHOLOGY

Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

This indicates whether an APPOINTMENT for a CARE CONTACT took place.

If the APPOINTMENT did not take place it also indicates if advance warning was given.

When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

National Codes:

Note: The classification has been listed in logical sequence rather than alphanumeric order.

* Note that code 0 - 'Not applicable - APPOINTMENT occurs in the future' is NOT valid for use in the following data sets:

• Child and Adolescent Mental Health Services Data Set
• Community Information Data Set
• Improving Access to Psychological Therapies Data Set
• Mental Health Minimum Data Set
• National Children's and Young People's Health Services Data Set.

Use in the Future Outpatient Commissioning Data Set:

• For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable - APPOINTMENT occurs in the future should be used.
• Where the future attendance has been cancelled, use the appropriate value from the National Codes.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

This is the method of feeding a baby is receiving.This is the type of feeding a baby is receiving.

National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The PERSON who was the subject of the CARE CONTACT.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	CARE CONTACT SUBJECTS

Data Elements:

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

A classification of a CATEGORY VALUED PERSON OBSERVATION.

National Codes:

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

Identifies the communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE ACTIVITY.

The telephone or telemedicine consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, types of CARE ACTIVITY. A record of the telephone or telemedicine consultation must be retained in the PATIENT's records.

Telephone contacts solely for informing PATIENTS of results are excluded.

National Codes:

The acronym derived from the drugs used in the Anti-Cancer Drug Regimen used to identify the drugs used in the regimen. Examples include 'CMF' for a regimen comprising Cyclophosphamide, Methotrexate and 5-Fluorouracil, 'AC' for a regimen comprising Dorubicin and Cyclophosphamide, etc.

References:
National Cancer Dataset Version 1.2 December 2001Examples include:

National Codes:

References:
National Cancer Dataset Version 1.2 December 2001

National Codes:

References:
National Cancer Dataset Version 1.3_ISB October 2002

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An indication of whether a PERSON is a Looked After Child.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	LOOKED AFTER CHILD INDICATORS

Data Elements:

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

A World Health Organisation classification indicating a PERSON's status relating to activity / disability.

Note: see PERFORMANCE STATUS FOR YOUNG PEOPLE for codes for a young person of 16 years and under.

National Codes:

References:
National Cancer Dataset Version 1.3_ISB October 2002

An indication of whether a PERSON is a REFUGEE OR ASYLUM SEEKER.An indication of whether a Person Nationality Or Residency Status applies to someone who is a refugee and stateless PERSON or a dependant and survivor of a refugee and stateless PERSON.

National Codes:Classification:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

A classification which identifies the source of referral of a Mental Health Care Spell.

National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY.  The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.  The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.

National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
CARE CONTACT SUBJECT is the same as attribute CARE CONTACT SUBJECT.

This data element is also known by these names:

Context	Alias
plural	CARE CONTACT SUBJECTS

Attribute:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
CONSULTATION MEDIUM USED is the same as attribute CONSULTATION MEDIUM USED.

This data element is also known by these names:

Context	Alias
plural	CONSULTATION MEDIA USED

Attribute:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the identifier of the type of row of data carried in a data submission file for the National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set or Child and Adolescent Mental Health Services Data Set). 

This may be a Data Set File Header row, a Segment row, or a File Trailer row.

See Children Young People and Maternity Services Data Sets Submission Requirements for usage requirements.

National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the total number of segment records within a file submission for a National Service Framework for Children Young People and Maternity Services Data Set (Maternity Data Set, National Children's and Young People's Health Services Data Set or Child and Adolescent Mental Health Services Data Set).

Segment records within one of these data set submissions are identified with National Code 'SEG' (see DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)).

The DATA SET SEGMENT RECORDS TOTAL Data Element flows in the Data Set File Trailer.The DATA SET SEGMENT RECORDS TOTAL Data Element flows in the Data Set File Header and Footer. See Children Young People and Maternity Services Data Sets Submission Requirements for further details.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
INVITATION OFFER DATE SENT is the same as attribute INVITATION OFFER DATE SENT.

This data element is also known by these names:

Context	Alias
plural	INVITATION OFFER DATES SENT

Attribute:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
LOOKED AFTER CHILD INDICATOR is the same as attribute LOOKED AFTER CHILD INDICATOR. 

This data element is also known by these names:

Context	Alias
plural	LOOKED AFTER CHILD INDICATORS

Attribute:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
SERVICE REQUEST IDENTIFIER is the same as attribute SERVICE REQUEST IDENTIFIER.