Change Request: CR1325

NHS Connecting for Health

NHS Data Model and Dictionary Service

Type:	Patch
Reference:	1325
Version No:	1.0
Subject:	August Release Patch
Effective Date:	Immediate
Reason for Change:	Patch
Publication Date:	30 August 2012

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the August 2012 Release and includes:

What's New amended to include Change Requests incorporated since the last version of the NHS Data Model and Dictionary was published
Missing hyperlinks added
Html format corrected.

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Diagrams
PERSON AND PERSON PROPERTY DIAGRAM	Changed Diagram

Data Set
MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)	Changed Description

Supporting Information
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW	Changed Description
DIASTOLIC PRESSURE	Changed Description
HBA1C	Changed Description
MENTAL HEALTH MINIMUM DATA SET OVERVIEW	Changed Description
PUBLICATION INFORMATION CONTACT DETAILS	Changed Description
SERUM CREATININE LEVEL	Changed Description
SYSTOLIC PRESSURE	Changed Description
URINARY ALBUMIN LEVEL	Changed Description
WHAT'S NEW: AUGUST 2012 renamed from WHAT'S NEW: JUNE 2012	Changed Description, Name

Class Definitions
CLINICAL INVESTIGATION RESULT ITEM	Changed Attributes

Attribute Definitions
ACTIVITY DATE TIME TYPE	Changed Description
ACTIVITY GROUP TYPE	Changed Description
ADMISSION METHOD	Changed Description
ASSESSMENT TOOL TYPE	Changed Description
CARE CONTACT TYPE	Changed Description
CARE CONTACT TYPE FOR COMMUNITY CARE	Changed Description
CARE PLAN TYPE	Changed Description
CATEGORY VALUED PERSON OBSERVATION TYPE	Changed Description
CLINICAL INTERVENTION TYPE	Changed Description
ELECTIVE ADMISSION TYPE	Changed Description
MEASURED PERSON OBSERVATION TYPE CODE	Changed Description
MEASUREMENT VALUE TYPE CODE	Changed Description
SERVICE USER TYPE	Changed Description

Data Elements
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (EYES)	Changed linked Attribute
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HEART)	Changed linked Attribute
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HIPS)	Changed linked Attribute
6 - 8 WEEK PHYSICAL EXAMINATION RESULT (TESTES)	Changed linked Attribute
COUNTRY CODE (AT ASSIGNMENT)	Changed Description
CRITICAL CARE ACTIVITY CODE	Changed Description
CRITICAL CARE ADMISSION SOURCE	Changed Description
CRITICAL CARE ADMISSION TYPE	Changed Description
CRITICAL CARE DISCHARGE DATE	Changed Description
CRITICAL CARE DISCHARGE DESTINATION	Changed Description
CRITICAL CARE DISCHARGE LOCATION	Changed Description
CRITICAL CARE DISCHARGE READY DATE	Changed Description
CRITICAL CARE DISCHARGE READY TIME	Changed Description
CRITICAL CARE DISCHARGE TIME	Changed Description
CRITICAL CARE LEVEL 2 DAYS	Changed Description
CRITICAL CARE LEVEL 3 DAYS	Changed Description
CRITICAL CARE LOCAL IDENTIFIER	Changed Description
CRITICAL CARE SOURCE LOCATION	Changed Description
CRITICAL CARE START DATE	Changed Description
CRITICAL CARE START TIME	Changed Description
CRITICAL CARE UNIT BED CONFIGURATION	Changed Description
CRITICAL CARE UNIT FUNCTION	Changed Description
ELECTIVE ADMISSION LIST ENTRY NUMBER	Changed Description
ELECTIVE ADMISSION LIST REMOVAL DATE	Changed Description
ELECTIVE ADMISSION LIST REMOVAL REASON	Changed Description
ELECTIVE ADMISSION LIST STATUS	Changed Description
ELECTIVE ADMISSION TYPE	Changed Description
ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)	Changed Description
ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)	Changed Description
ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK)	Changed Description
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)	Changed Description
EMPLOYEE WORK PERMIT END DATE	Changed Description
EMPLOYMENT CONTRACT START DATE	Changed Description
EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD)	Changed Description
EMPLOYMENT STATUS (MOTHER AT BOOKING)	Changed Description
EMPLOYMENT STATUS (PARTNER AT BOOKING)	Changed Description
EMPLOYMENT STATUS RECORDED DATE	Changed Description
EMPLOYMENT SUPPORT REFERRAL DATE	Changed Description
EMPLOYMENT SUPPORT SUITABILITY INDICATOR	Changed Description
HEADCOUNT STABILITY RATE (ORGANISATION IN REPORTING PERIOD)	Changed Description
HEADCOUNT TURNOVER RATE (FTE IN REPORTING PERIOD)	Changed Description
HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE	Changed Description
HEALTHCARE RESOURCE GROUP CODE	Changed Description
HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER	Changed Description
HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE)	Changed Description
HIGH COST DRUGS (OPCS)	Changed Description
NEWBORN PHYSICAL EXAMINATION RESULT (HEART)	Changed Description
NEWBORN PHYSICAL EXAMINATION RESULT (HIPS)	Changed Description
NEWBORN PHYSICAL EXAMINATION RESULT (TESTES)	Changed Description
OCCUPATION CODE (CLINICAL SECOND SPECIALTY)	Changed Description
OCCUPATION CODE (CLINICAL SPECIALTY)	Changed Description
OFFERED FOR ADMISSION DATE	Changed Description
OFFER STATUS (DATING ULTRASOUND SCAN)	Changed Description
OFFER STATUS (SCREENING DOWNS SYNDROME)	Changed Description
OFFER STATUS (SCREENING MOTHER ASYMPTOMATIC BACTERIURIA)	Changed Description
OFFER STATUS (SCREENING MOTHER HAEMOGLOBINOPATHY)	Changed Description
OFFER STATUS (SCREENING MOTHER HEPATITIS B)	Changed Description
OFFER STATUS (SCREENING MOTHER HUMAN IMMUNODEFICIENCY VIRUS)	Changed Description
OFFER STATUS (SCREENING MOTHER RUBELLA SUSCEPTIBILITY)	Changed Description
OFFER STATUS (SCREENING NEWBORN HEARING)	Changed Description
OFFER STATUS (SCREENING NEWBORN PHYSICAL EXAMINATION)	Changed Description
OFFER STATUS (ULTRASOUND FETAL ANOMALY SCREENING)	Changed Description
ONSET OF ESTABLISHED LABOUR DATE TIME	Changed Description
ONSET OF SECOND STAGE OF LABOUR DATE TIME	Changed Description
OPERATING THEATRES DEDICATED TO DAY CASES TOTAL	Changed Description
OPERATING THEATRE TOTAL	Changed Description
PATIENT NAME	Changed Description
PAYSCALE SPINE POINT CODE	Changed Description
PERSON FAMILY NAME	Changed Description
PERSON FAMILY NAME (AT BIRTH)	Changed Description
PERSON FULL NAME	Changed Description
PERSON GIVEN NAME	Changed Description
PERSON INITIALS	Changed Description
PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER)	Changed Description
PERSON NAME SUFFIX	Changed Description
PERSON OBSERVATION DATE AND TIME	Changed linked Attribute, Description
PERSON REQUESTED NAME	Changed Description
PERSON TITLE	Changed Description
PERSON WEIGHT	Changed Description
PROCEDURE SCHEME IN USE	Changed Description
TRAINING ACTIVITY DELIVERY METHOD TYPE CODE	Changed Description

Date:	30 August 2012
Sponsor:	Richard Kavanagh, NHS Connecting for 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.

Click here for a printer friendly view of this page.

PERSON AND PERSON PROPERTY DIAGRAM

Change to Diagram: Changed Diagram

top

MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)

Change to Data Set: Changed Description

Mental Health Minimum Data Set Overview

The Mandatory, Required or Optional (M/R/O) 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
O = Optional: the inclusion of this data element is optional as required for local purposes.

TABLE 1: MASTER PATIENT INDEX (MPI)

Master Patient Index: This table should include a record for every patient receiving care within the Mental Health Service.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
R	PERSON BIRTH DATE
R	PERSON GENDER CODE CURRENT
R	PERSON MARITAL STATUS
R	ETHNIC CATEGORY
R	NHS NUMBER
R	POSTCODE OF USUAL ADDRESS
R	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
R	ORGANISATION CODE (CODE OF COMMISSIONER)
O	YEAR OF FIRST KNOWN PSYCHIATRIC CARE

TABLE 2: PSYCHOSIS SERVICE (PSYCHOSIS)

Psychosis Service: This table should contain a record for each patient seen within specialist psychosis services including Early Intervention in Psychosis Services.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
R	PRODROME PSYCHOSIS DATE
R	EMERGENT PSYCHOSIS DATE
R	MANIFEST PSYCHOSIS DATE
R	PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
R	PSYCHOSIS TREATMENT START DATE

TABLE 3: EMPLOYMENT STATUS (EMP)

Employment Status: This table should contain a record for each set of employment details recorded for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	EMPLOYMENT STATUS RECORDED DATE
R	EMPLOYMENT STATUS
O	WEEKLY HOURS WORKED

TABLE 4: ACCOMMODATION STATUS (ACCOM)

Accommodation Status: This table should contain a record for each set of accommodation status details recorded for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ACCOMMODATION STATUS DATE
R	SETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)
O	ACCOMMODATION STATUS (MENTAL HEALTH)

TABLE 5: REFERRAL (REFER)

Referral: This table should contain a record for each external referral to the mental health care provider for the patient. This includes referrals which were not accepted.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	REFERRAL REQUEST RECEIVED DATE
R	SOURCE OF REFERRAL FOR MENTAL HEALTH
O	SERVICE REQUEST STATUS DATE (MENTAL HEALTH)
R	STATUS OF SERVICE REQUEST (MENTAL HEALTH)
R	DISCHARGE DATE (MENTAL HEALTH SERVICE)
R	DISCHARGE REASON (MENTAL HEALTH SERVICE)

TABLE 6: MENTAL HEALTH TEAM EPISODE (TEAMEP)

Mental Health Team Episode: This table should contain a record for every non-inpatient Mental Health Care Team Episode for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
R	END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
R	ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 7: NHS DAY CARE EPISODE (DAYEP)

NHS Day Care Episode: This table should contain a record for every Mental Health NHS Day Care Episode for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)
R	END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

TABLE 8: CONSULTANT OUTPATIENT EPISODE (OPEP)

Consultant Outpatient Episode: This table should contain a record for every Consultant Outpatient Episode for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (CONSULTANT OUT-PATIENT EPISODE)
R	END DATE (CONSULTANT OUT-PATIENT EPISODE)

TABLE 9: ACUTE HOME BASED CARE EPISODE (HBCAREEP)

Acute Home Based Care Episode: This table should contain a record for every Mental Health Care Professional Episode (Acute Home Based) for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))
R	END DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))

TABLE 10: MENTAL HEALTH NHS CARE HOME STAY EPISODE (NHSCAREHOMEEP)

Mental Health NHS Care Home Stay Episode: This table should contain a record for every Mental Health NHS Care Home Stay (Nursing Care) and/or Mental Health NHS Care Home Stay (Residential) for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH NHS CARE HOME STAY)
R	END DATE (MENTAL HEALTH NHS CARE HOME STAY)

TABLE 11: HOSPITAL PROVIDER SPELL (PROVSPELL)

Hospital Provider Spell: This table should contain a record for each Hospital Provider Spell for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

TABLE 12: INPATIENT EPISODE (INPATEP)

Inpatient Episode: This table should contain a record for every Consultant Episode (Hospital Provider) or Nursing Episode which occurred during a Hospital Provider Spell for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (EPISODE)
R	END DATE (EPISODE)
R	ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 13: WARD STAYS WITHIN HOSPITAL PROVIDER SPELL (WARDSTAYS)

Ward Stays Within Hospital Provider Spell: This table should contain a record for every Ward Stay which occurred during a Hospital Provider Spell for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (WARD STAY)
R	END DATE (WARD STAY)
R	INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
R	WARD SECURITY LEVEL
R	SEX OF PATIENTS CODE
R	INTENDED AGE GROUP

TABLE 14: DELAYED DISCHARGE (DELAYEDDISCHARGE)

Delayed Discharge: This table should contain a record for every Mental Health Delayed Discharge Period which occurred during a Hospital Provider Spell.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
R	END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
R	MENTAL HEALTH DELAYED DISCHARGE REASON

TABLE 15: CLINICAL TEAM (CLINTEAM)

Clinical Team: This table should contain a record for each Adult Mental Health Care Team.
M/R/O	Data Set Data Elements
M	ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
O	ADULT MENTAL HEALTH CARE TEAM NAME
R	ADULT MENTAL HEALTH CARE TEAM TYPE

TABLE 16: STAFF (STAFF)

Staff: This table should contain a record for every Mental Health professional responsible for providing the patient's care.
M/R/O	Data Set Data Elements
M	ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
R	MAIN SPECIALTY CODE (MENTAL HEALTH)
R	OCCUPATION CODE
R	CARE PROFESSIONAL (JOB ROLE CODE)

TABLE 17: CARE CO-ORDINATOR ASSIGNMENT(CCASS)

Care Co-ordinator Assignment: This table should contain a record for each assignment of a Care Co-ordinator to the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
R	END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
R	ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 18: RESPONSIBLE CLINICIAN ASSIGNMENT(RCASS)

Responsible Clinician Assignment: This table should contain a record for each assignment of a Mental Health Responsible Clinician to the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
R	END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
R	ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 19: HEALTH CARE PROFESSIONAL CONTACTS (HCPCONT)

Health Care Professional Contacts: This table should contain a record for each separate contact with a health care professional for the patient, including Consultant Out-patient Appointments, Professional Staff Group Contacts, Care Coordinator Contacts, and Community Psychiatric Nurse Contacts.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	CARE CONTACT DATE (MENTAL HEALTH)
O	CARE CONTACT TIME (MENTAL HEALTH)
R	CLINICAL CONTACT DURATION OF APPOINTMENT
R	ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
R	ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
R	CONSULTATION MEDIUM USED
R	CARE CONTACT SUBJECT
R	ACTIVITY LOCATION TYPE CODE
R	ATTENDED OR DID NOT ATTEND CODE

TABLE 20: NHS DAY CARE FACILITY ATTENDANCES (DAYATT)

NHS Day Care Facility Attendances: This table should contain a record for each separate Mental Health NHS Day Care Attendance for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	CARE CONTACT DATE (MENTAL HEALTH)
R	ATTENDED OR DID NOT ATTEND CODE

TABLE 21: REVIEWS (REV)

Reviews: This table should contain a record for each review undertaken for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	REVIEW DATE
R	CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
R	ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
R	ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 22: PRIMARY DIAGNOSIS (PRIMDIAG)

Primary Diagnosis: This table should contain a record for the Primary Diagnosis recorded for the patient, using ICD10 codes.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DIAGNOSIS DATE
R	PRIMARY DIAGNOSIS (ICD)

TABLE 23: SECONDARY DIAGNOSIS (SECDIAG)

Secondary Diagnosis: This table should contain a record for each Secondary Diagnosis recorded for the patient, using ICD10 codes.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DIAGNOSIS DATE
R	SECONDARY DIAGNOSIS (ICD)

TABLE 24: CPA EPISODE (CPAEP)

CPA Episode: This table should contain a record for each separate period of time the patient spent on Care Programme Approach.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
R	START DATE (CARE PROGRAMME APPROACH CARE)
R	END DATE (CARE PROGRAMME APPROACH CARE)

TABLE 25: CRISIS PLAN (CRISISPLAN)

Crisis Plan: This table should contain a record for each Mental Health Crisis Plan created for the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
R	MENTAL HEALTH CRISIS PLAN CREATION DATE
R	MENTAL HEALTH CRISIS PLAN LAST UPDATED DATE

TABLE 26: MENTAL HEALTH CLUSTERING TOOL (MHCT)

Mental Health Clustering Tool: This table should contain details of each Mental Health Clustering Tool assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ASSESSMENT TOOL COMPLETION DATE
R	MENTAL HEALTH CLUSTERING TOOL ASSESSMENT REASON
R	HONOS RATING 1 SCORE
R	HONOS RATING 2 SCORE
R	HONOS RATING 3 SCORE
R	HONOS RATING 4 SCORE
R	HONOS RATING 5 SCORE
R	HONOS RATING 6 SCORE
R	HONOS RATING 7 SCORE
R	HONOS RATING 8 SCORE
R	HONOS RATING 8 TYPE
R	HONOS RATING 9 SCORE
R	HONOS RATING 10 SCORE
R	HONOS RATING 11 SCORE
R	HONOS RATING 12 SCORE
R	SUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE
R	SUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE
R	SUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE
R	SUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE
R	SUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE
R	SUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE
R	MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
R	MENTAL HEALTH CARE CLUSTER CODE

TABLE 27: PAYMENT BY RESULTS CARE CLUSTER (CLUSTER)

Payment By Results Care Cluster: This table should contain details of the period that the patient is assigned to a Mental Health Care Cluster following a Mental Health Care Clustering Tool Assessment.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (MENTAL HEALTH CARE CLUSTER)
R	END DATE (MENTAL HEALTH CARE CLUSTER)
R	MENTAL HEALTH CARE CLUSTER CODE
R	MENTAL HEALTH CARE CLUSTER END REASON

TABLE 28: HEALTH OF THE NATION OUTCOME SCALE (HONOS)

Health of the Nation Outcome Scale: This table should contain details of each Health of the Nation Outcome Scale (Working Age Adults) assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ASSESSMENT TOOL COMPLETION DATE
R	HONOS RATING 1 SCORE
R	HONOS RATING 2 SCORE
R	HONOS RATING 3 SCORE
R	HONOS RATING 4 SCORE
R	HONOS RATING 5 SCORE
R	HONOS RATING 6 SCORE
R	HONOS RATING 7 SCORE
R	HONOS RATING 8 SCORE
R	HONOS RATING 8 TYPE
R	HONOS RATING 9 SCORE
R	HONOS RATING 10 SCORE
R	HONOS RATING 11 SCORE
R	HONOS RATING 12 SCORE

TABLE 29: HEALTH OF THE NATION OUTCOME SCALE 65+ (HONOS65+)

Health of the Nation Outcome Scale 65+: This table should contain details of each Health of the Nation Outcome Scale (65+) assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ASSESSMENT TOOL COMPLETION DATE
R	HONOS 65+ RATING 1 SCORE
R	HONOS 65+ RATING 2 SCORE
R	HONOS 65+ RATING 3 SCORE
R	HONOS 65+ RATING 4 SCORE
R	HONOS 65+ RATING 5 SCORE
R	HONOS 65+ RATING 6 SCORE
R	HONOS 65+ RATING 7 SCORE
R	HONOS 65+ RATING 8 SCORE
R	HONOS 65+ RATING 8 TYPE
R	HONOS 65+ RATING 9 SCORE
R	HONOS 65+ RATING 10 SCORE
R	HONOS 65+ RATING 11 SCORE
R	HONOS 65+ RATING 12 SCORE

TABLE 30: HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS) (HONOSCA)

Health of the Nation Outcome Scale (Children and Adolescents): This table should contain details of each Health of the Nation Outcome Scale (Children and Adolescents) assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ASSESSMENT TOOL COMPLETION DATE
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

TABLE 31: HEALTH OF THE NATION OUTCOME SCALE (SECURE) (HONOSSECURE)

Health of the Nation Outcome Scale (Secure): This table should contain details of each Health of the Nation Outcome Scale (Secure) assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ASSESSMENT TOOL COMPLETION DATE
R	HONOS-SECURE RATING A SCORE
R	HONOS-SECURE RATING B SCORE
R	HONOS-SECURE RATING C SCORE
R	HONOS-SECURE RATING D SCORE
R	HONOS-SECURE RATING E SCORE
R	HONOS-SECURE RATING F SCORE
R	HONOS-SECURE RATING G SCORE

TABLE 32: PATIENT HEALTH QUESTIONNAIRE (PHQ-9)

Patient Health Questionnaire: This table should contain details of each Patient Health Questionnaire-9 assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	ASSESSMENT TOOL COMPLETION DATE
O	PHQ-9 QUESTION 1 SCORE
O	PHQ-9 QUESTION 2 SCORE
O	PHQ-9 QUESTION 3 SCORE
O	PHQ-9 QUESTION 4 SCORE
O	PHQ-9 QUESTION 5 SCORE
O	PHQ-9 QUESTION 6 SCORE
O	PHQ-9 QUESTION 7 SCORE
O	PHQ-9 QUESTION 8 SCORE
O	PHQ-9 QUESTION 9 SCORE
O	PHQ-9 TOTAL SCORE

TABLE 33: SOCIAL SERVICE STATUTORY ASSESSMENT (SSASS)

Social Service Statutory Assessment: This table should contain a record for each Social Services Statutory Assessment undertaken for a patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	STATUTORY ASSESSMENT DATE
O	STATUTORY ASSESSMENT TYPE

TABLE 34: MENTAL HEALTH ACT EVENT EPISODES (MHAEVENT)

~~Mental Health Act Event:~~ This table should contain a record for patients formally detailed under the Mental Health Act 1983 or other Acts. A separate record should be included for every separate section of the Mental Health Act that the patient is detained under.
Mental Health Act Event Episodes: This table should contain a record for patients formally detailed under the Mental Health Act 1983 or other Acts. A separate record should be included for every separate section of the Mental Health Act that the patient is detained under.
M/R/O	Data Set Data Elements
M	MHMDS 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

TABLE 35: SUPERVISED COMMUNITY TREATMENT (SCT)

Supervised Community Treatment: This table should contain a record for each separate period of Supervised Community Treatment under section 17a of the Mental Health Act 1983 for the patient.
M/R/O	Data Set Data Elements
M	MHMDS 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

TABLE 36: SUPERVISED COMMUNITY TREATMENT RECALL (SCTRECALL)

Supervised Community Treatment Recall: This table should contain a record for each separate period of recall into hospital for a patient on Supervised Community Treatment under section 17a of the Mental Health Act 1983.
M/R/O	Data Set Data Elements
M	MHMDS 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)

TABLE 37: INTERVENTION (READ) (INTERVENTION)

Intervention (READ): This table should contain a record for each element of treatment or intervention recorded for the patient, using READ codes.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DATE OF PATIENT TREATMENT OR INTERVENTION (READ)
O	PATIENT TREATMENT OR INTERVENTION (READ)

TABLE 38: ADMINISTRATIONS OF ECT (ECT)

Administrations of ECT: This table should contain a record for each separate instance of Electro-Convulsive Therapy administered to the patient.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	PROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)

TABLE 39: MENTAL HEALTH LEAVE OF ABSENCE (LOA)

Mental Health Leave of Absence: This table should contain a record for each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.
M/R/O	Data Set Data Elements
M	MHMDS 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

TABLE 40: MENTAL HEALTH ABSENCE WITHOUT LEAVE (AWOL)

Mental Health Absence Without Leave: This table should contain a record for each separate period of Mental Health Absence Without Leave for the patient.
M/R/O	Data Set Data Elements
M	MHMDS 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

TABLE 41: HOME LEAVE (HOMELEAVE)

Home Leave: This table should contain a record for each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on Supervised Community Treatment.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	START DATE (HOME LEAVE)
R	END DATE (HOME LEAVE)

TABLE 42: SELF HARM (SELFHARM)

Self Harm: This table should contain a record for each separate reported incident of self harm by the patient during a Hospital Provider Spell.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DATE OF SELF HARM

TABLE 43: USE OF RESTRAINT (RESTRAINT)

~~Restraint:~~ This table should contain a record for each separate reported incident of physical restraint of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment, during a Hospital Provider Spell.
Use of Restraint: This table should contain a record for each separate reported incident of physical restraint of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment, during a Hospital Provider Spell.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DATE OF PHYSICAL RESTRAINT
O	DURATION OF PHYSICAL RESTRAINT

TABLE 44: ASSAULTS ON PATIENT (ASSAULT)

Assaults on Patient: This table should contain a record for each separate reported incident of assault on the patient by another patient during a Hospital Provider Spell.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DATE OF ASSAULT ON PATIENT

TABLE 45: PERIODS OF SECLUSION (SECLUSION)

Periods of Seclusion: This table should contain a record for each separate incident of seclusion of the patient during a Hospital Provider Spell.
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
M	DATE OF SECLUSION
O	DURATION OF SECLUSION

top

CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

The Maternity and Children’s Data Set has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The child health element of the data set covers all stages of the care pathway across primary, secondary and tertiary sectors from birth until the day before the 19th birthday an/or transition into audit services. The initial data collection will concentrate on the data required to support the Healthy Child Programme and will for the first time:

allow maternal and child health data to be linked so that vital information can be used to improve services
provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
provide planners, commissioners and managers with reliable information on service delivery, which can be used to inform future planning and service improvements
improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
record outcomes to contribute to clinical risk management and governance to reduce litigation costs
underpin the improvement of local information systems to meet data set standards.

Data Collection

The Children and Young People's Health Service Secondary Uses Data Set provides the definitions for data:

to be lodged in the data warehouse regularly and routinely
to be assembled, compiled and to flow into a secondary uses data warehouse
to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Children's and Young People's Health Services or to enable other systems to interoperate with other clinical systems.

Submission Information

For submission information, see the Maternity and Childrens Data Sets Submission Requirements.

Further Guidance

~~Further guidance has been produced by~~ ~~The NHS Information Centre for health and social care~~ ~~and is available on their website at:~~ ~~Children's and Young People's Health Services (CYPHS) Secondary Uses Data Set~~.Further guidance has been produced by The NHS Information Centre for health and social care and is available on their website at: Children's and Young People's Health Services (CYPHS) Secondary Uses Data Set.

top

DIASTOLIC PRESSURE

Change to Supporting Information: Changed Description

Diastolic Pressure is a MEASURED PERSON OBSERVATION.

~~The pressure reading of the blood between heart beats.~~ ~~The type of measurement value is mmHg.~~Diastolic Pressure is the reading of a PERSON's Blood Pressure relaxing between heart beats and is measured in 'mmHg'.

top

HBA1C

Change to Supporting Information: Changed Description

HbA1c (Hemoglobin A1c), also known as Glycated Hemoglobin is a MEASURED PERSON OBSERVATION.

~~The~~ ~~HbA1c~~ ~~test measures the amount of glucose that is being carried by the red blood cells in the body.~~The HbA1c test measures the amount of glucose that is being carried by the red blood cells in the body and is measured in 'mmol/L (millimoles per litre)'.

top

MENTAL HEALTH MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Mental Health Minimum Data Set was introduced by Data Set Change Notice 20/19/P13 in April 2000 in response to the lack of national clinical data collection in the mental health arena, in line with the information requirements of the emerging National Service Framework for Mental Health.

Since April 2003 (Data Set Change Notice 49/2002) it has been a mandatory requirement that all Providers of specialist adult, including elderly, mental health services submit central Mental Health Minimum Data Set returns on a quarterly basis, with an additional annual submission.

The Mental Health Minimum Data Set facilitates the collection of person-focussed clinical data and the sharing of such data to underpin the delivery of mental health care. It is structured around the clinical process and includes an outcome assessment (Health of the Nation Outcome Scale (Working Age Adults), or HoNOS (Working Age Adults)). It records the key role played by partner agencies, particularly social services.

The Mental Health Minimum Data Set describes Adult Mental Health Care Spells. These comprise all interventions made for a PATIENT by a specialist Adult Mental Health Care Team from initial REFERRAL REQUEST to final discharge. For some individuals the Adult Mental Health Care Spell will comprise a short Consultant Out-Patient Episode; for others it may extend over many years and include hospital, community, out-patient and day care episodes.

Information is collected relating to various stages in the journey of the PATIENT, including activity such as Hospital Provider Spells, Consultant Out-Patient Episodes, community care, and NHS day care episodes; mental health reviews and assessments including Care Programme Approach (CPA) and Health of the Nation Outcome Scale (Working Age Adults) contacts with mental health professionals such as care co-ordinators, psychiatric NURSES and CONSULTANTS; and also any diagnosis and treatment.

The prime purpose of the Mental Health Minimum Data Set is to provide local clinicians and managers with better quality information for clinical audit, and service planning and management.

Central collection provides improved national information, facilitating feedback to Trusts, and the setting of benchmarks. It will also allow the delivery of the National Service Framework for Mental Health priorities to be monitored.

The Mental Health Minimum Data Set data is collected from NHS funded providers of specialist mental health services and submitted via the Bureau Services Portal provided by the Systems and Services Delivery (SSD) team at NHS Connecting For Health. ~~The Bureau Service processes submissions and and produces local extracts for provider and commissioner~~ ~~ORGANISATIONS, and a national pseudonymised extract for~~ ~~The NHS Information Centre for health and social care, for storage, analysis and reporting.~~ The Bureau Service processes submissions and produces local extracts for provider and commissioner ORGANISATIONS, and a national pseudonymised extract for The NHS Information Centre for health and social care, for storage, analysis and reporting.

Please note that the collection of the Mental Health Minimum Data Set does not replace any other collection of mental health data such as the Admitted Patient Care Commissioning Data Set Type Detained and/or Long Term Psychiatric Census, which should continue to be collected.

For further information on the Mental Health Minimum Data Set, please view the following The NHS Information Centre for health and social care website:

http://www.ic.nhs.uk/services/mental-health/mhmds

Mental Health Minimum Data Set Version History

Version	Date Issued	Summary of Changes	DSCN / ISN	Implementation Date
1.0	November 1999	Introduction of Mental Health Minimum Data Set	DSCN 20/99/P13	April 2000
1.1	June 2002	Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)	DSCN 27/2002	April 2003
1.2	September 2002	Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)	DSCN 29/2002	April 2003
1.3	October 2002	Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)	DSCN 48/2002	April 2003
2.0	October 2002	Mental Health Minimum Data Set - Mandatory Central returns. This version of the data set incorporates changes defined in Data Set Change Notice 27/2002, 29/2002 and 48/2002.	DSCN 49/2002	April 2003
2.1	November 2007	Introduction of Mental Health Minimum Data Set Version 2.1	DSCN 37/2007	November 2007
3.0	February 2008	Introduction of Mental Health Minimum Data Set Version 3.0 - incorporating changes required for Mental Health Act 2007 and Public Service Agreement Delivery Agreement 16 (Social Exclusion)	DSCN 06/2008	April 2008
3.5	November 2010	Advance notification of changes to the Mental Health Minimum Data Set to meet Payment by Results requirements.	Amd 41/2010	01 April 2011
~~4.0~~	~~April 2011~~	~~Introduction of~~ ~~Mental Health Minimum Data Set (Version 4-0)~~ ~~- incorporating changes required for~~ ~~Payment by Results~~ ~~and reduction of burden~~	~~Amd 87/2010~~	~~01 April 2011~~
4.0	April 2011	Introduction of Mental Health Minimum Data Set (Version 4-0) - incorporating changes required for Payment by Results and reduction of burden	Amd 87/2010	01 April 2012

top

PUBLICATION INFORMATION CONTACT DETAILS

Change to Supporting Information: Changed Description

NHS Data Model and Dictionary:
NHS Data Model and Dictionary Service
NHS Connecting for Health
Princes Exchange
Princes Square
Leeds
LS1 4HY
Website: NHS Data Model and Dictionary Service website

Email: datastandards@nhs.net

Information Standards Board for Health and Social Care:

Information Standards Board for Health and Social Care
Princes Exchange
Princes Square
Leeds
LS1 4HY

Website: Information Standards Board for Health and Social Care website
Email: information.standards@nhs.net

Department of Health

Website: Department of Health website
Queries: Contact Us Details
Email: dhmail@dh.gsi.gov.uk
~~The NHS Information Centre for health and social care~~

The NHS Information Centre for health and social care

Website: The NHS Information Centre for Health and Social Care website
Queries: Contact Us
Email: enquiries@ic.nhs.uk

Hospital Episode Statistics (HES):

Website: HES online
Queries: HES queries

~~Clinical Coding general enquiries:~~
~~International Classification of Diseases (ICD)~~
~~OPCS Classification of Interventions and Procedures~~ (~~OPCS-4~~);
~~Read Coded Clinical Terms~~;
~~Systematized Nomenclature of Medicine Clinical Terms~~ (~~SNOMED CT~~®)
Clinical Coding general enquiries:
International Classification of Diseases (ICD)
OPCS Classification of Interventions and Procedures (OPCS-4)
Read Coded Clinical Terms
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®)

Website: NHS Classifications Service website
E-mail: datastandards@nhs.net

Organisation Data Service Queries:

Organisation Data Service
Hexagon House
Pynes Hill
Rydon Lane
Exeter
Devon EX2 5SE
Website:
Organisation Data Service information is published:
on the NHSnet at: http://nww.connectingforhealth.nhs.uk/ods/
to named recipients both inside the NHS and to others licensed to use this data in support of the NHS, through the online Technology Reference Data Update Distribution Service (TRUD)
as a subset of the data on the NHS Choices website.
Email: exeter.helpdesk@nhs.net
Telephone: 01392 251 289

Postcodes:

Office for National Statistics
Website: Office for National Statistics website
Email: info@statistics.gov.uk
Telephone: 0845 601 3034
Fax: 01633 652747
National Health Service Postcode Directory (NHSPD) Website: National Statistics Postcode Products.

top

SERUM CREATININE LEVEL

Change to Supporting Information: Changed Description

Serum Creatinine Level is a MEASURED PERSON OBSERVATION.

Serum Creatinine Level is the concentration of creatinine in serum, used as an indicator of renal function and is measured in 'micromoles/litre (µmol/L)'.

top

SYSTOLIC PRESSURE

Change to Supporting Information: Changed Description

Systolic Pressure is a MEASURED PERSON OBSERVATION.

~~The pressure reading of the blood at each heart beat.~~ ~~The type of measurement value is mmHg.~~Systolic Pressure is the reading of a PERSON's Blood Pressure at each heart beat and is measured in 'mmHg'.

top

URINARY ALBUMIN LEVEL

Change to Supporting Information: Changed Description

Urinary Albumin Level is a MEASURED PERSON OBSERVATION.

Urinary Albumin Level is the level of albumin in a urine sample.

top

WHAT'S NEW: AUGUST 2012 renamed from WHAT'S NEW: JUNE 2012

Change to Supporting Information: Changed Description, Name

Release: August 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set
The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:
CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
CR1263 (Immediate) - ISB 0090 Amd 5/2012 Health and Social Care Bill Changes
CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: January 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes

Release: November 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update
The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:
CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:
CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema
The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:
CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set

Release: July 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set

Release: June 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1256 (Immediate) - DDCN 1256/2011 School Definitions
CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set

Release: March 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6

Release: January 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types

Release: November 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update
CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return

Release: May 2010

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

CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: March 2010

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

CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
CR1139 (Immediate) - DSCN 16/2010 Person Weight
CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

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

CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

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

CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

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

CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
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

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)
CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
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
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 Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

top

CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Attributes

Attributes of this Class are:

K		INVESTIGATION RESULT DATE
K		INVESTIGATION RESULT TIME
		ABNORMALITY DETECTED INDICATOR
		ARITHMETIC COMPARATOR
		BIOPSY REFERRAL OUTCOME
		CANCER HISTOLOGICAL TYPE
		CANCER MARKER LYMPH NODE STATUS
		CANCER VASCULAR OR LYMPHATIC INVASION
		CERVICAL SMEAR EXAMINED DATE
		CHLAMYDIA TEST RESULT
		CLINICAL INVESTIGATION ITEM UNIT OF MEASURE
		CLOSEST MARGIN
		CYTOLOGY RESULT TYPE
		CYTOLOGY SMEAR REASON
		DEVIATING RESULT INDICATOR
		EXCISION MARGIN
		GRADE OF DIFFERENTIATION
		INVASIVE CANCER SPECIAL TYPE INDICATOR
		INVASIVE LESION SIZE
		INVESTIGATION EXAMINATION RESULT CODE
		INVESTIGATION HAEMOGLOBINOPATHY RESULT CODE
		INVESTIGATION RESULT STATUS CODE
		INVESTIGATION RESULT TEXT
		INVESTIGATION RISK RATIO RESULT CODE
		INVESTIGATION RUBELLA RESULT INDICATOR
		INVESTIGATION SENSITISED RESULT INDICATOR
		LYMPH NODE STATUS
		MARKER LYMPH NODE RESULT
		~~NECROSIS~~
		NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE
		NEWBORN HEARING SCREENING OUTCOME
		NODES EXAMINED NUMBER
		NODES POSITIVE NUMBER
		NUMBER OF FETUSES
		NUMERICAL VALUE
		PERINEURAL INVASION
		RADIOLOGICAL RESULT VERIFIED DATE
		RADIOLOGICAL RESULT VERIFIED TIME
		RESULT ITEM STATUS
		SARCOMA RELATION TO DEEP FASCIA
		SCREENING TEST RESULT
		SMEAR INFECTION TYPE
		SPECIMEN NATURE
		SYNCHRONOUS TUMOUR INDICATOR
		TUMOUR NECROSIS

top

ACTIVITY DATE TIME TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~DATE~~ or ~~TIME~~ ~~that that defines the usage with regard to the~~ ~~ACTIVITY~~.The type of DATE or TIME that that defines the usage with regard to the ACTIVITY.

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

01	Angiogram Date (Retired July 2012)
02	Arrival Date At Accident and Emergency Department
03	Breast Assessment Date
04	Cancer Dental Assessment Date
05	Colorectal or Stoma Nurse Seen Date
06	Coronary Angiography Date (Retired July 2012)
07	Care Programme Approach Review Date
08	Date Biopsy Taken
09	Discharge Date
10	Discharge Ready Date
11	End Date
12	Event Date (Retired July 2012)
13	Expected Delivery Date
14	First Antenatal Assessment Date
15	Full Postnatal Examination Date
16	Initial Patient Contact Date (Retired July 2012)
17	Investigation Transfer Date (Retired July 2012)
18	Intrauterine Device Application Date
19	Intrauterine Device Fitted Date
20	Last Dosage Date
21	Mental Health Care Assessment Date
22	Miscarriage Date
23	Pathology Result Due Date
24	Patient Informed Biopsy Result Date
25	Patient Informed Of Outcome Date
26	Smoking Quit Date
27	Review Planned Date
28	Screening Result Date
29	Screening Result Sent Date
30	Specialist Palliative Care Date
31	Start Date
32	Symptoms First Noted Date
33	Attendance Date
34	Clinical Intervention Date
35	Immunisation Completion Date
36	Clinical Status Assessment Date
37	Dose Given Date
38	Test Date
39	Contact Date
40	Appointment Date
41	Primary Procedure Date
42	Second Operation Date
43	Speech and Swallowing Assessment Date
44	Third Operation Date
45	Date First Seen
46	Statutory Assessment Date
47	Screening Test Date
48	Genitourinary Care Contact Date
49	Consultant Upgrade Date
101	Referral Closure Date (Community Care)
102	Discharge Letter Issued Date (Community Care)
103	Systemic Anti-Cancer Therapy Administration Date
104	Procedure Date
105	Immunisation Dose Given Date
106	Antenatal Appointment Date
107	Antenatal Booking Appointment Date
108	Pregnancy First Contact Date
109	Screening Test Information Given Date

Note: This list is not in alphabetical order.

Times

50	Accident and Emergency Attendance Conclusion Time
51	Accident and Emergency Departure Time
52	Accident and Emergency Initial Assessment Time
53	Accident and Emergency Time Seen For Treatment
54	Arrival At Hospital Time (Retired April 2012)
55	ARRIVAL TIME (Retired April 2012)
56	End Time
57	Event Time (Retired July 2012)
58	Initial Patient Contact Time (Retired July 2012)
59	Last Dosage Time
60	Pathology Result Due Time
61	Start Time
62	Theatre Case Time In To Theatre Suite
63	Theatre Case Time Out Of Theatre
64	Theatre Case Time Out Of Theatre Suite
65	Time Seen
66	Discharge Ready Time (Retired April 2012)
67	Arrival Time At Accident and Emergency Department
68	Arrival Time For Transport Requests

Note: This list is not in alphabetical order.

top

ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~ACTIVITY GROUP~~.The type of ACTIVITY GROUP.

National Codes:

01	Accident and Emergency Episode
02	Acute Myocardial Infarction Care Spell (Retired July 2012)
03	Augmented Care Period (Retired 1 April 2006)
04	Breast Cancer Care Spell
05	Cancer Care Spell
06	Care Home Stay (Consultant Care)
07	Care Home Stay (Midwife Care)
08	Care Home Stay (Nursing Care)
09	Care Home Stay (Residential)
10	Care Programme Approach Episode
11	Colorectal Cancer Care Spell
12	Community Episode
13	Mental Health Care Professional Episode (Acute Home-Based)
14	Consultant Episode (Hospital Provider)
15	Consultant Out-Patient Episode
16	Dental Episode
17	Drug Misuse Episode
18	Sexual Health And HIV Episode
19	Head and Neck Cancer Care Spell
20	Home Dialysis Episode
21	Hospital Provider Spell
22	Lung Cancer Care Spell
23	Adult Mental Health Care Spell
24	Midwife Episode
25	Neonatal Level Of Care Period
26	Nursing Episode
27	Palliative Care Episode
28	PERSON STOP SMOKING EPISODE
29	Pregnancy Episode
30	Professional Staff Group Episode
31	Regular Attender Episode
32	Road Traffic Accident Treatment
33	Sarcoma Care Spell
34	Skin Cancer Care Spell
35	Supervised Discharge Episode
36	Supervision Register Episode
37	Upper GI Cancer Care Spell
38	Urological Cancer Care Spell
39	Ward Stay
40	Hospital Stay
41	Care Spell
42	CRITICAL CARE PERIOD
43	PATIENT PATHWAY
44	REFERRAL TO TREATMENT PERIOD
45	Active Monitoring
46	Supervised Community Treatment Recall
47	Supervised Community Treatment
48	Mental Health Care Without Patient Consent
49	Cancer Treatment Period
50	Gynaecological Cancer Care Spell
51	Mental Health Care Spell
52	Improving Access to Psychological Therapies Care Spell
53	Adult Mental Health Care Team Episode
54	Mental Health NHS Day Care Episode
55	Mental Health Delayed Discharge Period
56	Mental Health Care Cluster Assignment Period
57	Mental Health Care Coordinator Assignment
58	Child and Adolescent Mental Health Clinical Intervention Episode
59	Child and Adolescent Mental Health Care Spell
60	Maternity Episode

Note:
The list is not in alphabetical order.

top

ADMISSION METHOD

Change to Attribute: Changed Description

The method of admission to a Hospital Provider Spell. ~~A detailed definition of~~ ~~Elective Admission~~ ~~is given in~~ ~~ELECTIVE ADMISSION TYPE~~.

Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.

National Codes:

Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission:
11	Waiting list
12	Booked
13	Planned
Note that this does not include a transfer from another Hospital Provider (see 81 below).
Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21	Accident and emergency or dental casualty department of the Health Care Provider
22	GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23	Bed bureau
24	Consultant Clinic, of this or another Health Care Provider
25	Admission via Mental Health Crisis Resolution Team *
28	Other means, examples are: - admitted from the Accident and Emergency Department of another provider where they had not been admitted - transfer of an admitted PATIENT from another Hospital Provider in an emergency - baby born at home as intended
Maternity Admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31	Admitted ante-partum
32	Admitted post-partum
Other Admission not specified above
82	The birth of a baby in this Health Care Provider
83	Baby born outside the Health Care Provider except when born at home as intended.
81	Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency

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

*Note - National Code 25 'Admission via Mental Health Crisis Resolution Team' is only valid for use in the Mental Health Minimum Data Set (Version 4-0). This value is not permitted to flow in the current Commissioning Data Set schema (versions 6-0 and 6-1). National Code 25 should be mapped to another appropriate ADMISSION METHOD code for the purposes of flowing data through the Commissioning Data Set.

top

ASSESSMENT TOOL TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~ASSESSMENT TOOL~~.The type of ASSESSMENT TOOL.

National Codes:

001	Health of the Nation Outcome Scale (Working Age Adults)
002	Health of the Nation Outcome Scale (Children and Adolescents)
003	Patient Health Questionnaire-9
004	Agoraphobia Questionnaire
005	Agoraphobia Mobility Inventory Questionnaire 'When Accompanied'
006	Agoraphobia Mobility Inventory Questionnaire 'When Alone'
007	Employment Status Questionnaire
008	Generalised Anxiety Disorder Penn State Worry Questionnaire
009	Generalised Anxiety Disorder Questionnaire
010	Health Anxiety Inventory Short Week Scale
011	Obsessive Compulsive Disorder Inventory Questionnaire
012	Panic Disorder Severity Scale
013	Post Traumatic Stress Disorder Impacts of Events Revised Scale
014	Social Phobia Inventory Questionnaire
015	Social Phobia Questionnaire
016	Specific Phobia Questionnaire
017	Work and Social Adjustment Scale
018	Health of the Nation Outcome Scale 65+ (Older Adults)
019	Health of the Nation Outcome Scale (Secure)
020	Mental Health Clustering Tool
021	Cardiovascular Disease Risk Calculator
022	Strengths And Difficulties Questionnaire
023	Experience of Service Questionnaire
024	Children's Global Assessment Scale
025	Family Assessment Device (General Functioning Subscale)
026	Parenting Daily Hassles
027	Parent-Infant Relationship Global Assessment Scale
028	Paddington Complexity Scale
029	Goal Based Outcomes
030	Mood And Feelings Questionnaire
031	Parenting Stress Index

top

CARE CONTACT TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~CARE CONTACT~~.The type of CARE CONTACT.

National Codes:

01	Accident and Emergency Attendance
02	Acute Home-Based Contact
03	Audiology Attendance
04	Cancer Clinical Status Assessment
05	Care Programme Approach Review
06	Clinic Attendance Consultant
07	Clinic Attendance Sexual and Reproductive Health Service
08	Clinic Attendance Midwife
09	Clinic Attendance Non-Consultant
10	Clinic Attendance Nurse
11	Contact Tracing Activity
12	Dental Treatment Contact
13	Day Care Attendance
14	Domiciliary Consultation
15	Emergency Dental Attendance
16	Face To Face Contact Community Care
17	Face To Face Contact CPA Care Coordinator
18	Face To Face Contact Dental
19	Face To Face Contact Optical
20	Face To Face Contact Social Worker (Retired 01 April 2011)
21	Face To Face Contact Surveillance
22	Sexual and Reproductive Health Domiciliary Visit
23	Genitourinary Consultant Clinic Attendance
24	GMP Consultation
25	GMP Practice Consultation
26	Home Assessment Visit
27	Maternity Domiciliary Visit
28	Night Consultation Visit
29	Nurse or Midwife Contact
30	Out-Patient Attendance Consultant
31	Registration Health Check
32	Sheltered Work Attendance (Retired 01 April 2011)
33	Sight Test
34	Social Services Statutory Assessment
35	Professional Advice And Support Contact
36	Professional Staff Group Contact
37	Telephone Contact NHS Direct (Mental Health) (Retired 01 April 2011)
38	Theatre Case
39	Ward Attendance
40	Genitourinary Care Contact
41	Improving Access to Psychological Therapies Contact
42	NHS Health Check Assessment
43	Antenatal Booking Appointment
44	Pregnancy First Contact

Note: The list is not in alphabetical order.

top

CARE CONTACT TYPE FOR COMMUNITY CARE

Change to Attribute: Changed Description

~~This indicates the type of~~ ~~CARE CONTACT~~ ~~for~~ ~~Community Health Services~~.The type of CARE CONTACT for Community Health Services.

National Codes:

01	Initial Contact
02	Follow up CARE CONTACT

top

CARE PLAN TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~CARE PLAN~~.The type of CARE PLAN.

National Codes:

01	Cancer Care Plan
02	Child Protection Plan
03	Mental Health Crisis Plan
04	Social Services Care Plan
05	Antenatal Care Plan
06	Birth Care Plan
07	Postpartum Care Plan

top

CATEGORY VALUED PERSON OBSERVATION TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~CATEGORY VALUED PERSON OBSERVATION~~.The type of CATEGORY VALUED PERSON OBSERVATION.

National Codes:

01	ALCOHOL STATUS
02	ASPIRIN THERAPY LOCATION (Retired July 2012)
03	BLEED COMPLICATION (Retired July 2012)
04	ETHNIC CATEGORY
05	JOINT REPLACEMENT REVISION CLASSIFICATION
06	LANGUAGE CLASSIFICATION
07	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION
08	PATIENT CLINICAL GROUP (Retired July 2012)
09	PERFORMANCE STATUS
10	PERSON GENDER
11	PERSON MARITAL STATUS
12	SARCOMA PREDISPOSING CONDITION
13	SKIN LYMPHOMA MORPHOLOGY
14	ACCOMMODATION
15	SEXUAL ORIENTATION
16	RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
17	RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
18	CONTRACEPTION
19	DISABILITY
20	PREVIOUS SYMPTOM STATUS
21	PSYCHOTROPIC MEDICATION STATUS
22	STATUTORY SICK PAY STATUS
23	PERSON PHYSICAL ACTIVITY LEVEL
24	CHILDHOOD IMMUNISATION STATUS
25	FOLIC ACID SUPPLEMENT STATUS
26	SUPPORT STATUS

top

CLINICAL INTERVENTION TYPE

Change to Attribute: Changed Description

~~A type of~~ ~~CLINICAL INTERVENTION~~.The type of CLINICAL INTERVENTION.

National Codes:

01	Anaesthetic Service
02	Anti-Cancer Drug Cycle
03	Anti-Cancer Drug Fraction
04	Anti-Cancer Drug Programme
05	Anti-Cancer Drug Regimen
06	Brachytherapy Treatment Course
07	Contraceptive Service
08	Dental Haemorrhage Service
09	Dental Treatment
10	Drug Dosage and Administration
11	Drug Treatment
12	Emergency Treatment Service
13	Endocrine Therapy
14	Fraction
15	Hip Replacement Surgery
16	Imaging or Radiodiagnostic Event
17	Immunisation Dose Given
18	Joint Replacement Surgery
19	Knee Replacement Surgery
20	Labour And Delivery
21	Lithotripsy Course Attendance
22	Maternity Medical Service
23	Minor Surgery Procedure
24	Pathology Laboratory Investigation
25	Patient Procedure
26	Post Mortem
27	Radiotherapy Treatment Course
28	Screening Test
29	Teletherapy Treatment Course
30	Test Of Immunity
31	Therapy After Discharge (Retired July 2012)
32	Thrombo Prophylaxis Regime
33	Unsealed Source Treatment Course
34	Vaccination Service
35	Vasectomy Performed
36	Clinical Investigation
37	Systemic Anti-Cancer Drug Cycle
38	Systemic Anti-Cancer Drug Programme
39	Systemic Anti-Cancer Drug Regimen
40	Chemotherapy
41	Cytotoxic Chemotherapy
42	Hormone Therapy
43	Immunotherapy
44	Diagnostic Imaging
45	6 - 8 Week Physical Examination
46	Ultrasound Scan In Pregnancy
47	Newborn Physical Examination
48	Biological Therapy
49	Brachytherapy
50	Chemoradiotherapy
51	Cryotherapy
52	High Intensity Focused Ultrasound
53	Hyperbaric Oxygen Therapy
54	Laser Treatment
55	Light Therapy
56	Photodynamic Therapy
57	Proton Therapy
58	Psoralen and Ultraviolet A Therapy
59	Radiofrequency Ablation
60	Radioisotope Therapy
61	Radiosurgery
62	Radiotherapy
63	Teletherapy

top

ELECTIVE ADMISSION TYPE

Change to Attribute: Changed Description

~~A classification of an~~ ~~ELECTIVE ADMISSION LIST ENTRY~~.The type of an ELECTIVE ADMISSION LIST ENTRY.

National Codes:

11	Waiting list admission A PATIENT admitted electively from a WAITING LIST having been given no date of admission at a time a DECISION TO ADMIT was made
12	Booked admission A PATIENT admitted having been given a date at the time the DECISION TO ADMIT was made, determined mainly on the grounds of resource availability
13	Planned admission A PATIENT admitted, having been given a date or approximate date at the time that the DECISION TO ADMIT was made. This is usually part of a planned sequence of clinical care determined mainly on clinical criteria (eg check cystoscopy)

Note that regular day and night admissions should be counted as planned after the first admission, with PATIENT placed on the ELECTIVE ADMISSION LIST between admissions. The date of the DECISION TO ADMIT for regular day and night admissions is the date when arrangements were made for the next admission. It is often the date when the PATIENT was last discharged from hospital.

top

MEASURED PERSON OBSERVATION TYPE CODE

Change to Attribute: Changed Description

~~A type of~~ ~~MEASURED PERSON OBSERVATION~~.The type of MEASURED PERSON OBSERVATION.

Each MEASURED PERSON OBSERVATION TYPE CODE must have an associated MEASUREMENT VALUE TYPE.

National Codes:

01	Weight
02	Height
03	Body Surface Area
04	Diastolic Pressure
05	Systolic Pressure
06	FEV1 Percentage
07	FEV1 Absolute Amount
08	HbA1c
09	Serum Cholesterol Level
10	Serum Creatinine Level
11	Urinary Albumin Level
12	Heart Rate
13	Gestation Length In Days

top

MEASUREMENT VALUE TYPE CODE

Change to Attribute: Changed Description

~~A type of measurement used for the~~ ~~MEASURED PERSON OBSERVATION~~ ~~being recorded.~~The type of measurement used for the MEASURED PERSON OBSERVATION being recorded.

The unit of measurement is based on the MEASURED PERSON OBSERVATION TYPE CODE for that MEASURED PERSON OBSERVATION.

National Codes:

01	~~mmol/L~~
02	~~µmol/L~~
03	~~µg/L~~
04	~~µg/mmol~~
05	~~µg/ml/hr~~
06	~~µg/min~~
07	~~µg/24hr~~
01	Millimoles per litre (mmol/L)
02	Micromoles per litre (µmol/L)
03	Microgrammes per litre (ug/L)
04	Microgrammes per mililitre (ug/mmol)
05	Microgramme albumin per hour (ug/ml/hr)
06	Microgramme albumin per minute (ug/min)
07	Microgramme albumin per 24 hours (ug/24hr)
08	Number
09	~~Percentage~~
10	~~Kilogram~~
11	~~Metres~~
13	~~Square Metres~~
14	~~Millilitres per Minute~~
15	~~mmHg~~
16	~~Litres~~
09	Percentage (%)
10	Kilograms (kg)
11	Metres (m)
13	Square Metres (m²)
14	Millilitres per Minute (ml/min)
15	Millimetre of mercury (mmHg)
16	Litres (l)
17	Beats per minute (bpm)
18	Centimetres (cm)

top

SERVICE USER TYPE

Change to Attribute: Changed Description

~~A type of user who will be provided for by a~~ ~~Care Home~~ ~~or a~~ ~~Children's Home~~.The type of user who will be provided for by a Care Home or a Children's Home.

HOME TYPE identifies whether a home is a Children's Home or a Care Home.

National Codes:

Care Homes
DE	Dementia
MD	Mental disorder, excluding learning disability or dementia
LD	Learning disability
PD	Physical disability
D	Past or present drug dependence
A	Past or present alcohol dependence
TI	Terminally ill
SI	Sensory impairment
OP	Old age, not falling within any of the categories above
Children's Homes
X	Children (with none of the following conditions)
EBD	Children with emotional or behavioural difficulties
PD	Children with physical disabilities
LD	Children with learning disabilities disability
MD	Children with mental disorders, excluding learning disability
D	Children with present drug dependence
A	Children with present alcohol dependence
SI	Children with sensory impairment

top

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (EYES)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (EYES)

Attribute:

INVESTIGATION EXAMINATION RESULT CODE

top

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HEART)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HEART)

Attribute:

INVESTIGATION EXAMINATION RESULT CODE

top

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HIPS)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (HIPS)

Attribute:

INVESTIGATION EXAMINATION RESULT CODE

top

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (TESTES)

Change to Data Element: Changed linked Attribute

6 - 8 WEEK PHYSICAL EXAMINATION RESULT (TESTES)

Attribute:

INVESTIGATION EXAMINATION RESULT CODE

top

COUNTRY CODE (AT ASSIGNMENT)

Change to Data Element: Changed Description

Format/Length:	See COUNTRY CODE
HES Item:
National Codes:
~~Default Codes:~~	~~97 - Not recorded~~ ~~99 - Not known~~
Default Codes:	97 - Not recorded
	99 - Not known

Notes:
COUNTRY CODE (AT ASSIGNMENT) is the same as attribute COUNTRY CODE.

The nationality of the EMPLOYEE as declared by the individual on appointment for an ASSIGNMENT to a POSITION or as advised by the individual in the course of employment (should they change their nationality).

This is the COUNTRY CODE of the COUNTRY where the NATIONALITY INDICATOR of NATIONALITY OR RESIDENCY is National Code 01 'National of the respective country at birth and still a national' or 03 'National of respective country subsequent to birth and still a national'.

For Electronic Staff Record and National Workforce Data Set usage only one nationality can be identified so in the case of dual nationality, the EMPLOYEE should choose the preferred COUNTRY for recording their nationality.

top

CRITICAL CARE ACTIVITY CODE

Change to Data Element: Changed Description

Format/Length:	an2
National Codes:	See CRITICAL CARE ACTIVITY CODE
Default Codes:

Notes:
CRITICAL CARE ACTIVITY CODE is the same as attribute CRITICAL CARE ACTIVITY CODE.

~~The~~ ~~CRITICAL CARE ACTIVITY CODE~~ ~~for a particular~~ ~~CARE ACTIVITY~~ ~~during a~~ ~~CRITICAL CARE PERIOD~~.

top

CRITICAL CARE ADMISSION SOURCE

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
Format/Length:	an2
National Codes:	See CRITICAL CARE ADMISSION SOURCE
Default Codes:

Notes:
CRITICAL CARE ADMISSION SOURCE is the same as attribute CRITICAL CARE ADMISSION SOURCE.

top

CRITICAL CARE ADMISSION TYPE

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
Format/Length:	an2
National Codes:	See CRITICAL CARE ADMISSION TYPE
Default Codes:

Notes:
CRITICAL CARE ADMISSION TYPE is the same as attribute CRITICAL CARE ADMISSION TYPE.

top

CRITICAL CARE DISCHARGE DATE

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~DATE~~
Format/Length:	See DATE
National Codes:
Default Codes:

Notes:
~~The end date of a~~ ~~CRITICAL CARE PERIOD~~. ~~This may be the date the~~ ~~PATIENT~~ ~~is discharged from the critical care unit, the date the~~ ~~PATIENT~~ ~~died or the date of declaration of brainstem death.~~CRITICAL CARE DISCHARGE DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'End Date' for the CRITICAL CARE PERIOD.

~~This is the same as attribute~~ ~~ACTIVITY DATE~~ ~~where the~~ ~~ACTIVITY DATE TIME TYPE~~ ~~is National Code 11~~ ~~'End Date'~~ ~~for the~~ ~~CRITICAL CARE PERIOD~~.CRITICAL CARE DISCHARGE DATE may be the:

date the PATIENT is discharged from the critical care unit

date the PATIENT died or

date of declaration of brainstem death.

top

CRITICAL CARE DISCHARGE DESTINATION

Change to Data Element: Changed Description

~~Format/length:~~	n2
Format/Length:	n2
National Codes:	See CRITICAL CARE DISCHARGE DESTINATION
Default Codes:

Notes:
CRITICAL CARE DISCHARGE DESTINATION is the same as attribute CRITICAL CARE DISCHARGE DESTINATION.

top

CRITICAL CARE DISCHARGE LOCATION

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
Format/Length:	an2
National Codes:	See CRITICAL CARE DISCHARGE LOCATION
Default Codes:

Notes:
CRITICAL CARE DISCHARGE LOCATION is the same as attribute CRITICAL CARE DISCHARGE LOCATION.

top

CRITICAL CARE DISCHARGE READY DATE

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~DATE~~
Format/Length:	See DATE
National Codes:
Default Codes:

Notes:
CRITICAL CARE DISCHARGE READY DATE is the same as attribute CRITICAL CARE DISCHARGE READY DATE.

top

CRITICAL CARE DISCHARGE READY TIME

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~TIME~~
Format/Length:	See TIME
National Codes:
Default Codes:

Notes:
CRITICAL CARE DISCHARGE READY TIME is the same as attribute CRITICAL CARE DISCHARGE READY TIME.

top

CRITICAL CARE DISCHARGE TIME

Change to Data Element: Changed Description

~~Format/length:~~	~~See~~ ~~TIME~~
Format/Length:	See TIME
National Codes:
Default Codes:

Notes:
~~The end time of a~~ ~~CRITICAL CARE PERIOD~~.

~~CRITICAL CARE DISCHARGE TIME~~ ~~is the same as attribute~~ ~~ACTIVITY TIME~~ ~~where the~~ ~~ACTIVITY DATE TIME TYPE~~ ~~is National Code 56~~ ~~'End Time'~~ ~~for the~~ ~~CRITICAL CARE PERIOD~~.

CRITICAL CARE DISCHARGE TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'End Time' for the CRITICAL CARE PERIOD.

top

CRITICAL CARE LEVEL 2 DAYS

Change to Data Element: Changed Description

~~Format/length:~~	n3
Format/Length:	n3
National Codes:
Default Codes:	998 - 998 or more level 2 days
	999 - level 2 days occurred but day count not known

Notes:
~~The total number of days a~~ ~~PATIENT~~ ~~received level 2 care during a~~ ~~CRITICAL CARE PERIOD~~.CRITICAL CARE LEVEL 2 DAYS is the total number of days a PATIENT received level 2 care during a CRITICAL CARE PERIOD. From 000 to 997 days can be recorded; if 998 or more days have occurred the default code should be used.

~~This is derived from the difference between the~~ ~~ACTIVITY PROPERTY EFFECTIVE DATE~~ ~~and the~~ ~~ACTIVITY PROPERTY END DATE~~ ~~for all~~ ~~ACTIVITY PROPERTIES~~ ~~where the~~ ~~CRITICAL CARE LEVEL~~ ~~is National Code 02~~ ~~'Level 2'~~ ~~within the~~ ~~CRITICAL CARE PERIOD~~.CRITICAL CARE LEVEL 2 DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 02 'Level 2' within the CRITICAL CARE PERIOD.

top

CRITICAL CARE LEVEL 3 DAYS

Change to Data Element: Changed Description

~~Format/length:~~	n3
Format/Length:	n3
National Codes:
Default Codes:	998 - 998 or more level 3 days
	999 - level 3 days occurred but day count not known

Notes:
~~The total number of days a~~ ~~PATIENT~~ ~~received level 3 care during a~~ ~~CRITICAL CARE PERIOD~~.CRITICAL CARE LEVEL 3 DAYS is the total number of days a PATIENT received level 3 care during a CRITICAL CARE PERIOD. From 000 to 997 days can be recorded; if 998 or more days have occurred the default code should be used.

~~This is derived from the difference between the~~ ~~ACTIVITY PROPERTY EFFECTIVE DATE~~ ~~and the~~ ~~ACTIVITY PROPERTY END DATE~~ ~~for all~~ ~~ACTIVITY PROPERTIES~~ ~~where the~~ ~~CRITICAL CARE LEVEL~~ ~~is National Code 03~~ ~~'Level 3'~~ ~~within the~~ ~~CRITICAL CARE PERIOD~~.CRITICAL CARE LEVEL 3 DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 03 'Level 3' within the CRITICAL CARE PERIOD.

top

CRITICAL CARE LOCAL IDENTIFIER

Change to Data Element: Changed Description

~~Format/length:~~	~~an8~~
Format/Length:	an8
National Codes:
Default Codes:

Notes:
~~This is a unique local~~ ~~ACTIVITY IDENTIFIER~~ ~~used to identify the start of~~ ~~CARE ACTIVITY~~ ~~within a~~ ~~CRITICAL CARE PERIOD~~.CRITICAL CARE LOCAL IDENTIFIER is a unique local ACTIVITY IDENTIFIER used to identify the start of CARE ACTIVITY within a CRITICAL CARE PERIOD.

This locally defined variable should as a minimum include a sequential numerical component that can discriminate two or more CRITICAL CARE PERIODS occurring on the same calendar day for the same patient.

top

CRITICAL CARE SOURCE LOCATION

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
Format/Length:	an2
National Codes:	See CRITICAL CARE SOURCE LOCATION
Default Codes:

Notes:
CRITICAL CARE SOURCE LOCATION is the same as attribute CRITICAL CARE SOURCE LOCATION .

top

CRITICAL CARE START DATE

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~DATE~~
Format/Length:	see DATE
National Codes:
Default Codes:

Notes:
~~The start date of a~~ ~~CRITICAL CARE PERIOD~~.

~~The~~ ~~ACTIVITY DATE~~ ~~where the~~ ~~ACTIVITY DATE TIME TYPE~~ ~~is National Code 31 'Start Date' for the~~ ~~CRITICAL CARE PERIOD~~.

CRITICAL CARE START DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the CRITICAL CARE PERIOD.

top

CRITICAL CARE START TIME

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~TIME~~
Format/Length:	see TIME
National Codes:
Default Codes:

Notes:
~~The start time of a~~ ~~CRITICAL CARE PERIOD~~.

~~The~~ ~~ACTIVITY TIME~~ ~~where the~~ ~~ACTIVITY DATE TIME TYPE~~ ~~is National Code 61 'Start Time' for the~~ ~~CRITICAL CARE PERIOD~~.

CRITICAL CARE START TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Start Time' for the CRITICAL CARE PERIOD.

top

CRITICAL CARE UNIT BED CONFIGURATION

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
Format/Length:	an2
National Codes:	See UNIT BED CONFIGURATION
Default Codes:

Notes:
CRITICAL CARE UNIT BED CONFIGURATION is the same as attribute UNIT BED CONFIGURATION.

top

CRITICAL CARE UNIT FUNCTION

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
Format/Length:	an2
National Codes:	See CRITICAL CARE UNIT FUNCTION
Default Codes:

Notes:
CRITICAL CARE UNIT FUNCTION is the same as attribute CRITICAL CARE UNIT FUNCTION.

The National Codes for non standard locations may be recorded where the delivery of care is CRITICAL CARE LEVEL National Code 02 'Level 2' or 03 'level 3' and the duration of care is greater than four hours.

top

ELECTIVE ADMISSION LIST ENTRY NUMBER

Change to Data Element: Changed Description

~~Format/length:~~	~~an12~~
~~HES item:~~
Format/Length:	an12
HES Item:
National Codes:
Default Codes:

Notes:
ELECTIVE ADMISSION LIST ENTRY NUMBER is the same as attribute ELECTIVE ADMISSION LIST ENTRY NUMBER.

top

ELECTIVE ADMISSION LIST REMOVAL DATE

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~DATE~~
~~HES item:~~
Format/Length:	see DATE
HES Item:
National Codes:
Default Codes:

Notes:
ELECTIVE ADMISSION LIST REMOVAL DATE is the same as attribute ELECTIVE ADMISSION LIST REMOVAL DATE.

top

ELECTIVE ADMISSION LIST REMOVAL REASON

Change to Data Element: Changed Description

~~Format/length:~~	n1
~~HES item:~~
Format/Length:	n1
HES Item:
National Codes:	See ELECTIVE ADMISSION LIST REMOVAL REASON
Default Codes:

Notes:
PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted to hospital. If treatment is then deferred because of lack of facilities or for medical reasons - the PATIENT may have a cold or unacceptably high blood pressure - the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as: 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT. Note that the ORIGINAL DECIDED TO ADMIT DATE must still be used to calculate the start of the PATIENT's waiting time calculation.

ELECTIVE ADMISSION LIST REMOVAL REASON will be replaced with ELECTIVE ADMISSION LIST REMOVAL REASON CODE, which should be used for all new and developing data sets and for XML messages.

top

ELECTIVE ADMISSION LIST STATUS

Change to Data Element: Changed Description

~~Format/length:~~	~~an2~~
~~HES item:~~
Format/Length:	an2
HES Item:
National Codes:
Default Codes:	99 - Not known: a validation error

Notes:
~~This data item is derived and indicates whether a~~ ~~PATIENT~~ ~~is available for treatment or suspended from the~~ ~~ELECTIVE ADMISSION LIST~~ ~~for medical or social reasons.~~ELECTIVE ADMISSION LIST STATUS is derived and indicates whether a PATIENT is available for treatment or suspended from the ELECTIVE ADMISSION LIST for medical or social reasons.

Permitted National Codes:

01	Patient is available for treatment
02	Patient is not available for treatment (e.g. suspended for medical or social reasons)

top

ELECTIVE ADMISSION TYPE

Change to Data Element: Changed Description

~~Format/length:~~	n2
~~HES item:~~
Format/Length:	n2
HES Item:
National Codes:	See ELECTIVE ADMISSION TYPE
Default Codes:

Notes:
ELECTIVE ADMISSION TYPE is the same as attribute ELECTIVE ADMISSION TYPE.

ELECTIVE ADMISSION TYPE will be replaced with ELECTIVE ADMISSION TYPE CODE, which should be used for all new and developing data sets and for XML messages.

top

ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)

Change to Data Element: Changed Description

Format/Length:	an10
HES Item:
National Codes:
Default Codes:

Notes:
ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) reports the total number of PERSONS eligible to receive immunisation against VACCINE PREVENTABLE DISEASE of Diphtheria, Tetanus and Polio (Td/IPV), for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) that the vaccine if offered to within a REPORTING PERIOD.

Where the Primary Care Trust does not offer vaccination for immunisation against Diphtheria, Tetanus and Polio for a specific IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO), the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) for that IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) is reported as zero.

top

ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)

Change to Data Element: Changed Description

Format/Length:	an10
HES Item:
National Codes:
Default Codes:

Notes:
ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) reports the total number of PERSONS eligible to receive immunisation against VACCINE PREVENTABLE DISEASE of Measles, Mumps and Rubella (MMR), for each IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) that the vaccine is offered to within a REPORTING PERIOD.

Where the Primary Care Trust does not offer vaccination for immunisation against Measles, Mumps and Rubella (MMR) for a specific IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA), the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) for that IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) is reported as zero.

top

ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK)

Change to Data Element: Changed Description

Format/Length:	n8
HES Item:
National Codes:
Default Codes:

Notes:
ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK) is the number of PATIENTS in the TARGET POPULATION within the REPORTING PERIOD for the NHS Health Check Programme.

The NHS Health Check Programme eligible population is all people aged between 40 and 74 in England, who have not previously been diagnosed with diabetes, hypertension, chronic heart disease or kidney disease.

top

ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)

Change to Data Element: Changed Description

Format/Length:	an10
HES Item:
National Codes:
Default Codes:

Notes:
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) reports the total number of PERSONS:

identified as requiring immunisation against VACCINE PREVENTABLE DISEASE of Tuberculosis (BCG) on the basis of meeting any of the following conditions:
- the PERSON is aged six years and over
- the PERSON is under six years of age with a history of residence or prolonged stay of over three months in a country with an annual Tuberculosis incidence of 40/100,000 or greater
- PERSONS who have had close contact with a PERSON known to have Tuberculosis, or
- PERSONS who have a family history of Tuberculosis within the last five years
for each IMMUNISATION AGE GROUP (TUBERCULOSIS) and IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS) that the vaccine is offered to within a REPORTING PERIOD.

top

EMPLOYEE WORK PERMIT END DATE

Change to Data Element: Changed Description

Format/Length:	See DATE
HES Item:
National Codes:
Default Codes:

Notes:
EMPLOYEE WORK PERMIT END DATE is the same as attribute EMPLOYEE WORK PERMIT END DATE.

The Work Permit arrangements allow employers based in the United Kingdom to employ people who are not nationals of a European Economic Area (EEA) country and are not entitled to work in the United Kingdom.The Work Permit arrangements allow employers based in the United Kingdom to employ people who are not nationals of a European Economic Area (EEA) country and are not entitled to work in the United Kingdom.

The Work Permit scheme is administered by Work Permits (UK), part of the Home Office's Immigration and Nationality Department (IND).

This is primarily an operational Human Resources item, but for planning purposes it is used in conjunction with EMPLOYEE RESIDENCY STATUS information to help plan for any necessary replacement of EMPLOYEES who are not entitled to work in the UK.

top

EMPLOYMENT CONTRACT START DATE

Change to Data Element: Changed Description

Format/Length:	See DATE
HES Item:
National Codes:
Default Codes:

Notes:
EMPLOYMENT CONTRACT START DATE is the same as attribute EMPLOYMENT CONTRACT START DATE.

An EMPLOYMENT CONTRACT may change where the ASSIGNMENT for the EMPLOYEE stays the same, but the hours of work, or the location/base, is changed.

top

EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD)

Change to Data Element: Changed Description

~~Format/length:~~	n4
~~HES item:~~
Format/Length:	n4
HES Item:
National Codes:
Default Codes:

Notes:
~~The number of~~ ~~EMPLOYMENT CONTRACT WORKING HOURS~~ ~~of an~~ ~~EMPLOYEE~~ ~~within an~~ ~~ORGANISATION~~ ~~during the~~ ~~REPORTING PERIOD, it is calculated as follows:~~

EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD) is the number of EMPLOYMENT CONTRACT WORKING HOURS of an EMPLOYEE within an ORGANISATION during the REPORTING PERIOD, it is calculated as follows:

EMPLOYMENT CONTRACT WORKING HOURS * calculated REPORTING PERIOD weeks

~~Before the~~ ~~EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD)~~ ~~can be calculated it is necessary to convert the~~ ~~REPORTING PERIOD~~ ~~into a number of weeks, this is calculated as follows:~~Before the EMPLOYMENT CONTRACT WORKING HOURS (REPORTING PERIOD) can be calculated it is necessary to convert the REPORTING PERIOD into a number of weeks, calculated as:

	(REPORTING PERIOD END DATE - REPORTING PERIOD START DATE) / 7 rounded up to next whole number
or

~~Where the~~ ~~EMPLOYMENT CONTRACT START DATE~~ ~~is after the~~ ~~REPORTING PERIOD START DATE, this is calculated as follows:~~Where the EMPLOYMENT CONTRACT START DATE is after the REPORTING PERIOD START DATE, calculated as:

(EMPLOYMENT CONTRACT START DATE - REPORTING PERIOD START DATE) / 7 rounded up to next whole number

Where the standard working week for the EMPLOYEE is expressed in EMPLOYMENT CONTRACT WORKING SESSIONS per week an assumed value of 3.5 hours per session should be used to convert sessions into working hours.

top

EMPLOYMENT STATUS (MOTHER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See EMPLOYMENT STATUS
Default Codes:

Notes:
EMPLOYMENT STATUS (MOTHER AT BOOKING) is the same as attribute EMPLOYMENT STATUS for the mother at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING).

top

EMPLOYMENT STATUS (PARTNER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See EMPLOYMENT STATUS
Default Codes:	UU - Unknown (PERSON asked but does not know or is unsure)

Notes:
~~EMPLOYMENT STATUS (PARTNER AT BOOKING)~~ ~~is the same as attribute~~ ~~EMPLOYMENT STATUS~~ ~~at the~~ ~~APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), for the~~ ~~PERSON~~ ~~where the~~ ~~PERSON RELATIONSHIP TYPE~~ ~~is National Codes 01~~ ~~'Spouse'~~ ~~or 02 '~~~~Partner'~~.

EMPLOYMENT STATUS (PARTNER AT BOOKING) is the same as attribute EMPLOYMENT STATUS at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), for the PERSON ;where the PERSON RELATIONSHIP TYPE is National Codes 01 'Spouse' or 02 'Partner'.

top

EMPLOYMENT STATUS RECORDED DATE

Change to Data Element: Changed Description

Format/Length:	See DATE
HES Item:
National Codes:
Default Codes:

Notes:
~~The~~ ~~DATE~~ ~~that the~~ ~~EMPLOYMENT STATUS~~ ~~of a~~ ~~PATIENT~~ ~~was recorded.~~

EMPLOYMENT STATUS RECORDED DATE is the DATE that the EMPLOYMENT STATUS of a PATIENT was recorded.

top

EMPLOYMENT SUPPORT REFERRAL DATE

Change to Data Element: Changed Description

Format/Length:	See DATE
HES Item:
National Codes:
Default Codes:

Notes:
~~The date the~~ ~~PATIENT~~ ~~was referred for~~ ~~Employment Support~~.

EMPLOYMENT SUPPORT REFERRAL DATE is the date the PATIENT was referred for Employment Support.

top

EMPLOYMENT SUPPORT SUITABILITY INDICATOR

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See EMPLOYMENT SUPPORT SUITABILITY INDICATOR
Default Codes:	NA - Not Applicable

Notes:
EMPLOYMENT SUPPORT SUITABILITY INDICATOR is the same as attribute EMPLOYMENT SUPPORT SUITABILITY INDICATOR.

top

HEADCOUNT STABILITY RATE (ORGANISATION IN REPORTING PERIOD)

Change to Data Element: Changed Description

Format/Length:	nnn.nn (including decimal point)
HES Item:
National Codes:
Default Codes:

Notes:
HEADCOUNT STABILITY RATE (ORGANISATION IN REPORTING PERIOD) is the percentage of EMPLOYEES who remain employed within the ORGANISATION within the REPORTING PERIOD, calculated as:

1.		Count the number of ASSIGNMENTS in an ORGANISATION at the start of the REPORTING PERIOD where:
		a.	the ASSIGNMENT START DATE is before or on the REPORTING PERIOD START DATE
	and
		b.	the ASSIGNMENT END DATE is on or after the REPORTING PERIOD START DATE
			or
			no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
2.		Count the number of ASSIGNMENTS in an ORGANISATION at the end of the REPORTING PERIOD where:
		c.	the ASSIGNMENT END DATE is on or after the REPORTING PERIOD END DATE
			or
			no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
	and
		d.	the ASSIGNMENT START DATE is on or before the REPORTING PERIOD END DATE
3.		Divide the resulting count of the number of ASSIGNMENTS at the end of the REPORTING PERIOD by the resulting count of the number of ASSIGNMENTS at the start of the REPORTING PERIOD multiplied by 100.
		For example if the number of assignments at the start of the reporting period is 150 and the number of assignments at the end of the reporting period is 120 the headcount stability rate is:
			(120 /150) *100 =80.00%

top

HEADCOUNT TURNOVER RATE (FTE IN REPORTING PERIOD)

Change to Data Element: Changed Description

Format/Length:	nnn.nn (including decimal point)
HES Item:
National Codes:
Default Codes:

Notes:
HEADCOUNT TURNOVER RATE (FTE IN REPORTING PERIOD) is the percentage of EMPLOYEES, based upon their ASSIGNMENT CONTRACTED FTE, leaving employment with the ORGANISATION within the REPORTING PERIOD, calculated as:

1.		Sum the ASSIGNMENT CONTRACTED FTE of each ASSIGNMENT in an ORGANISATION at the start of the REPORTING PERIOD where:
		a.	the ASSIGNMENT START DATE is before or on the REPORTING PERIOD START DATE
	and
		b.	the ASSIGNMENT END DATE is on or after the REPORTING PERIOD START DATE
			or
			no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
2.		Sum the ASSIGNMENT CONTRACTED FTE of each ASSIGNMENT in an ORGANISATION at the end of the REPORTING PERIOD where:
		c.	the ASSIGNMENT END DATE is on or after the REPORTING PERIOD END DATE
			or
			no ASSIGNMENT END DATE has been recorded i.e. the employee is still employed
	and
		d.	the EMPLOYMENT CONTRACT START DATE is on or before the REPORTING PERIOD END DATE
3.		Add the resulting sum of the FTEs at the start of the REPORTING PERIOD to the resulting sum of the FTEs at the end of the REPORTING PERIOD divided by 2.
		For example if the sum result at the start of the reporting period is 65.3 and the sum result at the end of the reporting period is 59.16 the average staff in assignments is:
			(65.3 +59.16) / 2 = 62.23
4.		Sum the ASSIGNMENT CONTRACTED FTE of each ASSIGNMENT for each EMPLOYEE leaving employment in an ORGANISATION with a recorded EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE where:
		e.	the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is on or after the REPORTING PERIOD START DATE
	and
		f.	the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is on or before the REPORTING PERIOD END DATE
5.		Divide the sum FTE of EMPLOYEES leaving employment by the average staff in assignments multiplied by 100
		For example if the number of FTEs leaving employment is 12.7 and the average FTEs in assignments is 62.23 the headcount turnover rate is:
			(12.7 / 62.23) * 100 = 20.40%

top

HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE

Change to Data Element: Changed Description

Format/Length:	max n2
HES Item:
National Codes:
Default Codes:

Notes:
~~This is the~~ ~~PERSON SCORE~~ ~~for an~~ ~~APPOINTMENT~~ ~~where the~~ ~~ASSESSMENT TOOL TYPE~~ is "~~Health Anxiety Inventory Short Week Scale~~".

HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Health Anxiety Inventory Short Week Scale".

The score will be between 0 and 54.

top

HEALTHCARE RESOURCE GROUP CODE

Change to Data Element: Changed Description

~~Format/length:~~	~~an3~~
~~HES item:~~	~~HRGNHS~~
Format/Length:	an3
HES Item:	HRGNHS
National Codes:
Default Codes:

Notes:
HEALTHCARE RESOURCE GROUP CODE is the code of the Healthcare Resource Group.

This data element does not need to be populated and transmitted to the Secondary Uses Service (SUS) via the Commissioning Data Sets.

top

HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

Change to Data Element: Changed Description

Format/Length:	an3
HES Item:	HRGNHSVN
National Codes:	OP (applies to out-patient HRGs only)
Default Codes:

Notes:
HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER is the version number of the Healthcare Resource Group.

This data element does not need to be populated and transmitted to the Secondary Uses Service (SUS) via the Commissioning Data Sets.

top

HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE)

Change to Data Element: Changed Description

~~Format/length:~~	n2
~~HES item:~~
Format/Length:	n2
HES Item:
National Codes:
Default Codes:

Notes:
~~This is the~~ ~~STAGE NUMBER~~ ~~for a~~ ~~TARGET POPULATION~~ ~~for the~~ ~~Immunisation Programme~~ ~~for the Human Papillomavirus Vaccine of either 'routine' or 'catch up'.~~

HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE) is the STAGE NUMBER for a TARGET POPULATION for the Immunisation Programme for the Human Papillomavirus Vaccine of either 'routine' or 'catch up'.

For further information and advise please see Department of Health Key Vaccine Information

top

HIGH COST DRUGS (OPCS)

Change to Data Element: Changed Description

~~Format/length:~~	~~an4~~
Format/Length:	an4
National Codes:	X81.0 - X97.9
Default Codes:

Notes:
~~See~~ ~~PROCEDURE CODING~~ ~~for details on coding.~~HIGH COST DRUGS (OPCS) is the use of high cost drugs as per OPCS-4 definitions provided as a CARE ACTIVITY.

~~This is the use of high cost drugs as per~~ ~~OPCS-4~~ ~~definitions provided as a~~ ~~CARE ACTIVITY~~.See PROCEDURE CODING for details on coding.

top

NEWBORN PHYSICAL EXAMINATION RESULT (HEART)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See INVESTIGATION EXAMINATION RESULT CODE
Default Codes:

Notes:
NEWBORN PHYSICAL EXAMINATION RESULT (HEART) is the same as attribute INVESTIGATION EXAMINATION RESULT CODE where the Clinical Investigation is Newborn Physical Examination of Heart.

top

NEWBORN PHYSICAL EXAMINATION RESULT (HIPS)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See INVESTIGATION EXAMINATION RESULT CODE
Default Codes:

Notes:
NEWBORN PHYSICAL EXAMINATION RESULT (HIPS) is the same as attribute INVESTIGATION EXAMINATION RESULT CODE where the Clinical Investigation is Newborn Physical Examination of Hips.

top

NEWBORN PHYSICAL EXAMINATION RESULT (TESTES)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See INVESTIGATION EXAMINATION RESULT CODE
Default Codes:

Notes:
NEWBORN PHYSICAL EXAMINATION RESULT (TESTES) is the same as attribute INVESTIGATION EXAMINATION RESULT CODE where the Clinical Investigation is Newborn Physical Examination of Testes.

top

OCCUPATION CODE (CLINICAL SECOND SPECIALTY)

Change to Data Element: Changed Description

Format/Length:	n3
HES Item:
National Codes:
Default Codes:

Notes:
OCCUPATION CODE (CLINICAL SECOND SPECIALTY) is the same as attribute OCCUPATION CODE.

OCCUPATION CODE (CLINICAL SECOND SPECIALTY) is the secondary specialty OCCUPATION CODE of a CONSULTANT.

The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

~~The NHS Occupation Codes are maintained by~~ ~~The NHS Information Centre for health and social care~~ ~~on behalf of the~~ ~~Department of Health~~ ~~and can be viewed at~~ ~~NHS Occupation Code Manual~~.

Please note these codes are not the same as those used for MAIN SPECIALTY CODE.

A second clinical specialty OCCUPATION CODE is added to a CONSULTANT or Specialist's record where the doctor's primary (main) specialty is 'General Medicine'.

Note that Specialty codes for a doctor with an OCCUPATION CODE of 021 General Surgery, or in the OCCUPATION CODE range of 920 to 980 Community and Public Health Medicine/Dentistry, are not valid as a second clinical specialty.

top

OCCUPATION CODE (CLINICAL SPECIALTY)

Change to Data Element: Changed Description

Format/Length:	n3
HES Item:
National Codes:
Default Codes:

Notes:
OCCUPATION CODE (CLINICAL SPECIALTY) is the same as attribute OCCUPATION CODE.

OCCUPATION CODE (CLINICAL SPECIALTY) is the primary (main) specialty OCCUPATION CODE of a doctor or dentist.

The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

~~The NHS Occupation Codes are maintained by~~ ~~The NHS Information Centre for health and social care, on behalf of the~~ ~~Department of Health~~ ~~and can be viewed at~~ ~~NHS Occupation Code Manual~~.

Please note these codes are not the same as those used for MAIN SPECIALTY CODE.

top

OFFERED FOR ADMISSION DATE

Change to Data Element: Changed Description

~~Format/length:~~	~~see~~ ~~DATE~~
~~HES item:~~
Format/Length:	see DATE
HES Item:
National Codes:
Default Codes:

Notes:
~~This is the same as attribute~~ ~~OFFERED FOR ADMISSION DATE~~.OFFERED FOR ADMISSION DATE is the same as attribute OFFERED FOR ADMISSION DATE.

top

OFFER STATUS (DATING ULTRASOUND SCAN)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (DATING ULTRASOUND SCAN) is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

01 Offered and Undecided
02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

SP Not eligible - for stage in pregnancy

~~for the mother during the~~ ~~Maternity Episode~~ ~~for the~~ ~~Dating Ultrasound Scan~~.

for the mother during the Maternity Episode for the Dating Ultrasound Scan.

top

OFFER STATUS (SCREENING DOWNS SYNDROME)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (SCREENING DOWNS SYNDROME) is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

01 Offered and Undecided
02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

SP Not eligible - for stage in pregnancy
AC Alternative choice - diagnostic offered

~~for the mother during the~~ ~~Maternity Episode, for a~~ ~~Clinical Investigation~~ ~~test for~~ ~~Downs Syndrome Screening.~~

for the mother during the Maternity Episode, for a Clinical Investigation test for Downs Syndrome Screening.

top

OFFER STATUS (SCREENING MOTHER ASYMPTOMATIC BACTERIURIA)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See ACTIVITY OFFER STATUS CODE
Default Codes:

Notes:
OFFER STATUS (SCREENING MOTHER ASYMPTOMATIC BACTERIURIA) is the same as attribute ACTIVITY OFFER STATUS CODE for the mother during the Maternity Episode for a blood test for 'Asymptomatic Bacteriuria'.

top

OFFER STATUS (SCREENING MOTHER HAEMOGLOBINOPATHY)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (SCREENING MOTHER HAEMOGLOBINOPATHY) is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

01 Offered and Undecided
02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

SR Previous screening result available

~~for the mother during the~~ ~~Maternity Episode~~ ~~for a blood test for~~ ~~Haemoglobinopathy Screening.~~

for the mother during the Maternity Episode for a blood test for Haemoglobinopathy Screening.

top

OFFER STATUS (SCREENING MOTHER HEPATITIS B)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (SCREENING MOTHER HEPATITIS B) is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

01 Offered and Undecided
02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

PN Test not required - prior diagnosis

~~for the mother during the~~ ~~Maternity Episode~~ ~~for a blood test for~~ ~~Hepatitis B antibodies.~~

for the mother during the Maternity Episode for a blood test for Hepatitis B antibodies.

top

OFFER STATUS (SCREENING MOTHER HUMAN IMMUNODEFICIENCY VIRUS)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (SCREENING MOTHER HUMAN IMMUNODEFICIENCY VIRUS) this is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

01 Offered and Undecided
02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

PN Test not required - prior diagnosis

~~for the mother during the~~ ~~Maternity Episode~~ ~~for a blood test for~~ ~~Human Immunodeficiency Virus~~ ~~(HIV) antibodies.~~

for the mother during the Maternity Episode for a blood test for Human Immunodeficiency Virus (HIV) antibodies.

top

OFFER STATUS (SCREENING MOTHER RUBELLA SUSCEPTIBILITY)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:	See ACTIVITY OFFER STATUS CODE
Default Codes:

Notes:
OFFER STATUS (SCREENING MOTHER RUBELLA SUSCEPTIBILITY) is the same as attribute ACTIVITY OFFER STATUS CODE for the mother during the Maternity Episode for a blood test for 'Rubella Antibodies'.

top

OFFER STATUS (SCREENING NEWBORN HEARING)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (SCREENING NEWBORN HEARING) is the ACTIVITY OFFER STATUS CODE for the Newborn Hearing Screening for congenital hearing impairments, this is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

IE Ineligible
NR No response to offer

~~for the mother during the~~ ~~Maternity Episode~~.

for the mother during the Maternity Episode.

top

OFFER STATUS (SCREENING NEWBORN PHYSICAL EXAMINATION)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (SCREENING NEWBORN PHYSICAL EXAMINATION) is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

IE Ineligible
NR No response to offer

~~for a~~ ~~Newborn Physical Examination~~.

for a Newborn Physical Examination.

top

OFFER STATUS (ULTRASOUND FETAL ANOMALY SCREENING)

Change to Data Element: Changed Description

Format/Length:	an2
HES Item:
National Codes:
Default Codes:

Notes:
OFFER STATUS (ULTRASOUND FETAL ANOMALY SCREENING) is either:

the ACTIVITY OFFER STATUS CODE using the following National Codes:

01 Offered and Undecided
02 Offered and Declined
03 Offered and Accepted
04 Not Offered

or the ACTIVITY NOT OFFERED REASON CODE FOR MATERNITY using the following National Codes:

SP Not eligible - for stage in pregnancy

~~r=for the mother during the~~ ~~Maternity Episode~~ ~~for the~~ ~~Fetal Anomaly Ultrasound Scan~~.

for the mother during the Maternity Episode for the Fetal Anomaly Ultrasound Scan.

top

ONSET OF ESTABLISHED LABOUR DATE TIME

Change to Data Element: Changed Description

Format/Length:	See DATE AND TIME
HES Item:
National Codes:
Default Codes:

Notes:
ONSET OF ESTABLISHED LABOUR DATE TIME is the same as data element DATE AND TIME, for the Start Date and Start Time for Established Labour Onset.

top

ONSET OF SECOND STAGE OF LABOUR DATE TIME

Change to Data Element: Changed Description

Format/Length:	See DATE AND TIME
HES Item:
National Codes:
Default Codes:

Notes:
ONSET OF SECOND STAGE OF LABOUR DATE TIME is the same as the data element DATE AND TIME, for the Start Date and Start Time for Second Stage Of Labour Onset.

top

OPERATING THEATRES DEDICATED TO DAY CASES TOTAL

Change to Data Element: Changed Description

~~Format/length:~~	n3
Format/Length:	n3
National Codes:
Default Codes:

Notes:
~~The total number of~~ ~~OPERATING THEATRES~~ ~~where the~~ ~~OPERATING THEATRE OPERATIONAL PLAN~~ ~~has an indicator for~~ ~~OPERATING THEATRE DEDICATED TO DAY CASES~~ ~~of National Code 1~~ ~~'Dedicated to day cases'~~.OPERATING THEATRES DEDICATED TO DAY CASES TOTAL is the total number of OPERATING THEATRES where the OPERATING THEATRE OPERATIONAL PLAN has an indicator for OPERATING THEATRE DEDICATED TO DAY CASES of National Code 'Dedicated to day cases'.

top

OPERATING THEATRE TOTAL

Change to Data Element: Changed Description

~~Format/length:~~	n3
Format/Length:	n3
National Codes:
Default Codes:

Notes:
~~The total number of~~ ~~OPERATING THEATRES~~.OPERATING THEATRE TOTAL is the total number of OPERATING THEATRES.

top

PATIENT NAME

Change to Data Element: Changed Description

Format/length:	an70
HES item:
National Codes:
Default Codes:

Notes:
~~This is the~~ ~~PERSON NAME~~ ~~where the~~ ~~PERSON NAME CLASSIFICATION~~ ~~equals classification '~~a. ~~Preferred Name~~~~' of the~~ ~~PATIENT~~.PATIENT NAME is the PERSON NAME where the PERSON NAME CLASSIFICATION is 'Preferred Name' of the PATIENT.

NAME FORMAT CODE indicates whether it is a PERSON NAME STRUCTURED or PERSON NAME UNSTRUCTURED.

The PATIENT's name and address should be withheld from any commissioning data that contains a valid NHS NUMBER. See Security Issues and Patient Confidentiality for more details.

The appropriate e-Government Interoperability Framework (e-GIF) standard for PERSON NAME should be used for all new and developing systems and for XML messages.

top

PAYSCALE SPINE POINT CODE

Change to Data Element: Changed Description

~~Format/length:~~	~~To be decided~~
~~HES item:~~
~~National codes~~	~~See~~ ~~PAYSCALE SPINE POINT CODE~~
~~Default codes~~
Format/Length:	To be decided
HES Item:
National Codes:	See PAYSCALE SPINE POINT CODE
Default Codes:

Notes:
PAYSCALE SPINE POINT CODE is the same as attribute PAYSCALE SPINE POINT CODE.

~~The point within a~~ ~~PAYSCALE~~ ~~that has been reached by an~~ ~~EMPLOYEE~~ ~~for an~~ ~~ASSIGNMENT~~.PAYSCALE SPINE POINT CODE is the point within a PAYSCALE that has been reached by an EMPLOYEE for an ASSIGNMENT.

top

PERSON FAMILY NAME

Change to Data Element: Changed Description

Format/Length:	max 35 characters
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON FAMILY NAME~~ ~~is the part of a~~ ~~PERSON's name which is used to describe family, clan, tribal group, or marital association.~~PERSON FAMILY NAME is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Family Name'.

~~PERSON FAMILY NAME~~ ~~is the same as~~ ~~PERSON NAME WORD TEXT~~ ~~where the~~ ~~PERSON NAME WORD TYPE~~ ~~equals~~ ~~'b.~~ ~~Person Family Name'~~.PERSON FAMILY NAME is the part of a PERSON's name which is used to describe family, clan, tribal group, or marital association.

This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.

~~For the~~ ~~AIDC for Patient Identification Data Set~~, ~~PERSON FAMILY NAME~~ ~~must be displayed in accordance with the~~ ~~NHS Common User Interface Information Standard - Patient Name Input and Display (ISB 1506).~~

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 1 January 2002.
Further information can be found on the Cabinet Office website.

top

PERSON FAMILY NAME (AT BIRTH)

Change to Data Element: Changed Description

Format/Length:	See PERSON FAMILY NAME
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON FAMILY NAME (AT BIRTH)~~ ~~is the same as~~ ~~PERSON FAMILY NAME~~ ~~where the~~ ~~PERSON NAME CLASSIFICATION~~ ~~is b.~~ ~~'Birth Name'.~~PERSON FAMILY NAME (AT BIRTH) is the same as PERSON FAMILY NAME where the PERSON NAME CLASSIFICATION is 'Birth Name'.

PERSON FAMILY NAME (AT BIRTH) is the PATIENT's surname at birth.

top

PERSON FULL NAME

Change to Data Element: Changed Description

Format/Length:	max 70 characters
HES Item:
National Codes:
Default Codes:

Notes:
PERSON FULL NAME is the full name of a PERSON. ~~This is an unstructured concatenation of some or all of the~~ ~~PERSON TITLE~~, ~~PERSON GIVEN NAME~~, ~~PERSON FAMILY NAME~~ ~~and~~ ~~PERSON NAME SUFFIX~~ ~~elements, or other elements that make up a~~ ~~PERSON's full name.~~

PERSON FULL NAME is an unstructured concatenation of some or all of the PERSON TITLE, PERSON GIVEN NAME, PERSON FAMILY NAME and PERSON NAME SUFFIX elements, or other elements that make up a PERSON's full name.

This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 1 January 2002.
Further information can be found on the Cabinet Office website.

top

PERSON GIVEN NAME

Change to Data Element: Changed Description

Format/Length:	max 35 characters
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON GIVEN NAME~~ ~~is the forename or given name of a~~ ~~PERSON~~.PERSON GIVEN NAME is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Given Name'.

~~PERSON GIVEN NAME~~ ~~is the same as~~ ~~PERSON NAME WORD TEXT~~ ~~where the~~ ~~PERSON NAME WORD TYPE~~ ~~equals~~ ~~'c.~~ ~~Person Given Name'~~.PERSON GIVEN NAME is the forename or given name of a PERSON.

This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.

For the AIDC for Patient Identification Data Set, PERSON GIVEN NAME must be displayed in accordance with the NHS Common User Interface Information Standard - Patient Name Input and Display (ISB 1506).

top

PERSON INITIALS

Change to Data Element: Changed Description

Format/Length:	max 35 characters
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON INITIALS~~ ~~is used to record a~~ ~~PERSON's initials.~~PERSON INITIALS is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Initials'.

~~PERSON INITIALS~~ ~~is the same as~~ ~~PERSON NAME WORD TEXT~~ ~~where the~~ ~~PERSON NAME WORD TYPE~~ ~~equals~~ ~~'e.~~ ~~Person Initials'.~~PERSON INITIALS is used to record a PERSON's initials.

This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.1, Agreed 1 March 2002.
Further information can be found on the Cabinet Office website.

top

PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER)

Change to Data Element: Changed Description

~~Format/length:~~	~~an70~~
~~HES item:~~
Format/Length:	an70
HES Item:
National Codes:
Default Codes:

Notes:
~~This is the~~ ~~PERSON NAME TEXT~~ ~~of a~~ ~~PERSON NAME UNSTRUCTURED~~ ~~for the~~ ~~PATIENT's specified~~ ~~GENERAL MEDICAL PRACTITIONER~~.PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER) is the PERSON NAME TEXT of a PERSON NAME UNSTRUCTURED for the PATIENT's specified GENERAL MEDICAL PRACTITIONER.

top

PERSON NAME SUFFIX

Change to Data Element: Changed Description

Format/Length:	max 35 characters
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON NAME SUFFIX~~ ~~is a textual suffix that may be added to the end of a~~ ~~PERSON's name, for example, OBE, MBE, BSc, JP, GM.~~

~~PERSON NAME SUFFIX~~ ~~is the same as~~ ~~PERSON NAME WORD TEXT~~ ~~where the~~ ~~PERSON NAME WORD TYPE~~ ~~equals~~ ~~'d.~~ ~~Person Name Suffix'.~~PERSON NAME SUFFIX is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Name Suffix'.

PERSON NAME SUFFIX is a textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM.

This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.

top

PERSON OBSERVATION DATE AND TIME

Change to Data Element: Changed linked Attribute, Description
Format/Length: See DATE AND TIME
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON OBSERVATION DATE AND TIME~~ ~~is the~~ ~~DATE AND TIME~~ ~~on which the observation was made.~~PERSON OBSERVATION DATE AND TIME is the same as data element DATE AND TIME. PERSON OBSERVATION DATE AND TIME is the PERSON PROPERTY OBSERVED DATE and PERSON PROPERTY OBSERVED TIME on which the observation was made.

top

PERSON OBSERVATION DATE AND TIME

Change to Data Element: Changed linked Attribute, Description

PERSON OBSERVATION DATE AND TIME

Attribute:

PERSON PROPERTY OBSERVED DATE

PERSON PROPERTY OBSERVED TIME

top

PERSON REQUESTED NAME

Change to Data Element: Changed Description
Format/Length: max 70 characters
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON REQUESTED NAME~~ ~~is the name a~~ ~~PERSON~~ ~~wishes to use which is different from the values in Title, Given Name(s), Family Name and Name Suffix fields.~~
PERSON REQUESTED NAME is the same as PERSON NAME TEXT.
PERSON REQUESTED NAME is the name a PERSON wishes to use which is different from the values in Title, Given Name(s), Family Name and Name Suffix fields.
This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 1 January 2002.
Further information can be found on the Cabinet Office website.

top

PERSON TITLE

Change to Data Element: Changed Description
Format/Length: max 35 characters
HES Item:
National Codes:
Default Codes:

Notes:
~~PERSON TITLE~~ ~~is the standard form of address used to precede a~~ ~~PERSON's name.~~
~~PERSON TITLE~~ ~~is the same as~~ ~~PERSON NAME WORD TEXT~~ ~~where the~~ ~~PERSON NAME WORD TYPE~~ ~~equals~~ ~~'a.~~ ~~Person Title'.~~PERSON TITLE is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Title'.
PERSON TITLE is the standard form of address used to precede a PERSON's name.
This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 1 January 2002.
Further information can be found on the Cabinet Office website.

top

PERSON WEIGHT

Change to Data Element: Changed Description
Format/Length: max n3.max n3
HES Item:
National Codes:
Default Codes:

Notes:
PERSON WEIGHT records the Weight of the PERSON.
~~This corresponds to~~ ~~MEASURED OBSERVATION VALUE~~ ~~where the~~ ~~MEASURED PERSON OBSERVATION TYPE CODE~~ is '~~Weight~~' ~~and the~~ ~~MEASUREMENT VALUE TYPE CODE~~ ~~is '~~~~Kilogram'~~.This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Weight' and the MEASUREMENT VALUE TYPE CODE is 'Kilograms'.
Notes:
For the Commissioning Data Sets, the field must be padded to match the Format/Length pattern of n3.n3, for example 001.100 is a valid entry (1.1 is invalid)
For neonatal critical care, this will be the last recorded Weight on a particular ACTIVITY DATE (CRITICAL CARE).
For the Systemic Anti-Cancer Therapy Data Set, Weight is recorded at the start of the:
Systemic Anti-Cancer Drug Regimen and
Systemic Anti-Cancer Drug Cycle.

top

PROCEDURE SCHEME IN USE

Change to Data Element: Changed Description
~~Format/length:~~ ~~an2~~
~~HES item:~~
Format/Length: an2
HES Item:
National Codes:
Default Codes:

Notes:
~~This is used in the Clinical Activity Group of the Commissioning Data Set to denote the scheme basis of an Intervention, Operation or A&E Treatment.~~PROCEDURE SCHEME IN USE is used in the Clinical Activity Group of the Commissioning Data Set to denote the scheme basis of an Intervention, Operation or A&E Treatment.
Permitted National Codes:
01 Accident & Emergency Treatment
02 OPCS-4
03 Read Code 4Byte Version (retired 1 October 2009)
04 ~~Read Code Version 2~~
05 ~~Read Code Clinical Terms Version 3 (CTV3)~~
04 Read Coded Clinical Terms Version 2
05 Read Coded Clinical Terms Version 3 (CTV3)
~~Read Code Clinical Terms Version 3 (CTV3) with qualifiers (previously known as 3.~~Read Coded Clinical Terms Version 3 (CTV3) with qualifiers (previously known as 3.1) is not supported in the Commissioning Data Sets.
CDS-XML Message:

The codes as specified above must be used in Commissioning Data Set - XML messages.

top

TRAINING ACTIVITY DELIVERY METHOD TYPE CODE

Change to Data Element: Changed Description
~~Format/length:~~ n2
~~HES item:~~
~~National codes~~ ~~See~~ ~~TRAINING ACTIVITY DELIVERY METHOD TYPE CODE~~
~~Default codes~~
Format/Length: n2
HES Item:
National Codes: See TRAINING ACTIVITY DELIVERY METHOD TYPE CODE
Default Codes:

Notes:
TRAINING ACTIVITY DELIVERY METHOD TYPE CODE is the same as attribute TRAINING ACTIVITY DELIVERY METHOD TYPE CODE.

top

For enquiries about this Change Request, please email datastandards@nhs.net

01	Offered and Undecided
02	Offered and Declined
03	Offered and Accepted
04	Not Offered

SP	Not eligible - for stage in pregnancy
AC	Alternative choice - diagnostic offered

Format/Length:	max n3.max n3
HES Item:
National Codes:
Default Codes:

01	Accident & Emergency Treatment
02	OPCS-4
03	Read Code 4Byte Version (retired 1 October 2009)
04	~~Read Code Version 2~~
05	~~Read Code Clinical Terms Version 3 (CTV3)~~
04	Read Coded Clinical Terms Version 2
05	Read Coded Clinical Terms Version 3 (CTV3)