Format/length:	annnaa for ICD - 10
HES item:
National Codes:
Default Codes:

Notes:
DIAGNOSIS (ICD FIRST MOST RECENT) is the same as the attribute CLINICAL CLASSIFICATION CODE.

At each Care Programme Approach Review of Care Programme Approach Episode within an Adult Mental Health Care Spell, up to twelve PATIENT DIAGNOSES may be recorded. Each Care Programme Approach Review has a Care Programme Approach Review Date and the required DIAGNOSTIC CODING is ICD-10.

For purposes of the Mental Health Minimum Data Set collection, the twelve most recent PATIENT DIAGNOSES in chronological ascending sequence are required and these may have been recorded in one or more Care Programme Approach Review.

For example if the latest Care Programme Approach Review within an Adult Mental Health Care Spell recorded 7 PATIENT DIAGNOSES and the previous Care Programme Approach Review recorded 8 PATIENT DIAGNOSES then:

DIAGNOSIS (ICD FIRST MOST RECENT) would be the first of the 7 latest recorded
DIAGNOSIS (ICD SECOND MOST RECENT) would be the second of the 7 latest recorded
DIAGNOSIS (ICD THIRD MOST RECENT) would be the third of the 7 latest recorded
DIAGNOSIS (ICD FOURTH MOST RECENT) would be the fourth of the 7 latest recorded
DIAGNOSIS (ICD FIFTH MOST RECENT) would be the fifth of the 7 latest recorded
DIAGNOSIS (ICD SIXTH MOST RECENT) would be the sixth of the 7 latest recorded
DIAGNOSIS (ICD SEVENTH MOST RECENT) would be the seventh of the 7 latest recorded
DIAGNOSIS (ICD EIGHTH MOST RECENT) would be the first of the 8 previously recorded
DIAGNOSIS (ICD NINTH MOST RECENT) would be the second of the 8 previously recorded
DIAGNOSIS (ICD TENTH MOST RECENT) would be the third of the 8 previously recorded
DIAGNOSIS (ICD ELEVENTH MOST RECENT) would be the fourth of the 8 previously recorded
DIAGNOSIS (ICD TWELFTH MOST RECENT) would be the fifth of the 8 previously recorded

Please refer to the following publications for guidance on diagnostic coding:

i.	The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines (1992b). Geneva, World Health Organisation.
ii.	Mental disorders in primary care, a concise guide to the management of 22 disorders in adults.

Care Programme Approach Review is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 05 'Care Programme Approach Review'.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Care Programme Approach Review Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 07 'CPA Review Date'.

 

This data element is also known by these names:

Context	Alias
plural	DIAGNOSES (ICD FIRST MOST RECENT)