Data Set: Mental Health Minimum Data Set (Version 4-1)

Mental Health Minimum Data Set Version 4-1

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)
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 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)

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

TABLE 46: COMMISSIONER HISTORY (COMMHIST)

Commissioner History: This table should contain a record of each commissioner assignment for the patient .
M/R/O	Data Set Data Elements
M	MHMDS LOCAL PATIENT IDENTIFIER
R	ORGANISATION CODE (CODE OF COMMISSIONER)
M	START DATE (COMMISSIONER ASSIGNMENT PERIOD)
R	END DATE (COMMISSIONER ASSIGNMENT PERIOD)